STEPHEN L. MOSS DPM PA NPI 1063520583

NPI Information

STEPHEN L. MOSS DPM PA is a foot surgery podiatrist in St Petersburg, FL. STEPHEN L. MOSS DPM PA NPI is 1063520583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6450 38TH AVE N
SUITE 310
ST PETERSBURG, FL
ZIP 33710-645
Phone: (727) 347-8872
Fax: (727) 343-6670

The provider's authorized official is Stephen L Moss .
The authorized official title is President and has the following contact phone number (727) 347-8872.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 12/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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