NPI | 1114584125 |
---|---|
Doing Business As | MOSS PODIATRY |
Doing Business As | DOUGLAS BRIAN MOSS |
Entity Type | Organization |
Authorized Contact | DOUGLAS BRIAN MOSS Physician Owner 727-641-2999 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2019-05-24 |
Last Update Date | 2021-11-10 |