Provider Type Icon

MOSS RESTORATIVE FOOT & ANKLE CENTER PLLC NPI 1114584125


NPI Information

NPI: 1114584125
Provider Name: MOSS RESTORATIVE FOOT & ANKLE CENTER, PLLC

Doing Business As: MOSS PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
7855 38TH AVE N STE 200
ST PETERSBURG, FL
ZIP 33710
Phone: (727) 302-9500
Get Directions

MOSS RESTORATIVE FOOT & ANKLE CENTER, PLLC is a podiatrist in St Petersburg, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MOSS RESTORATIVE FOOT & ANKLE CENTER, PLLC NPI is 1114584125. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Moss Podiatry.

The provider's business location address is:

7855 38TH AVE N STE 200
ST PETERSBURG, FL
ZIP 33710-134
Phone: (727) 302-9500
Fax: (727) 302-9504

The provider's authorized official is Douglas Brian Moss .
The authorized official title is Physician Owner and has the following contact phone number (727) 641-2999.

The enumeration date for this NPI number is 5/24/2019 and was last updated on 11/10/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2213E00000XPodiatristYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1213ES0103XOTHERFLORIDATAXONOMY CODE
2340659800MEDICAIDFLORIDA
31039020500MEDICAIDFLORIDA
411429703OTHERFLORIDACAQH
565963OTHERFLORIDABLUE CROSS BLUE SHIELD
6213E00000XOTHERFLORIDATAXONOMY CODE
7T89762OTHERUPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.