Individual
GERARD MOSIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15243 AMBERLY DR, TAMPA, FL 33647-2155
(813) 631-1500
Mailing address
15243 AMBERLY DR, TAMPA, FL 33647-2155
(813) 631-1500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 79704
FL
Other
Enumeration date
11/23/2005
Last updated
06/18/2008
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