Individual
CALLIE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3508 E COMANCHE AVE, TAMPA, FL 33610-4520
(813) 860-7183
Mailing address
3508 E COMANCHE AVE, TAMPA, FL 33610-4520
(813) 860-7183
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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