Organization
PLANTATION EAR NOSE & THROAT PA
Active
Other names
Herbert I Moselle MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT I MOSELLE MD (OWNER)
(954) 472-1212
Entity
Organization
Contact information
Practice address
201 NW 82ND AVE, SUITE 404, PLANTATION, FL 33324-7808
(954) 472-1212
(954) 473-6235
Mailing address
201 NW 82ND AVE, SUITE 404, PLANTATION, FL 33324-7808
(954) 472-1212
(954) 473-6235
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34163
GROUP NUMBER FOR BCBS
FL
Enumeration date
10/12/2006
Last updated
12/20/2007
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