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Individual

BRIDGET L MOSSOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
Mailing address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001182039
VA
363LF0000X
Family Nurse Practitioner
Primary
ARNP2852082
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023871100
FL
Enumeration date
08/20/2015
Last updated
03/20/2018
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