CHARLES HARRELSON MOSS

FORT WALTON BEACH, FL
NPI1841447406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-104360)
Enumeration Date2008-08-25
Last Update Date2019-06-25
Business Address
CHARLES HARRELSON MOSS CRNP
1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL 32547-3737
Phone number: 850-610-8820
Mailing Address
CHARLES HARRELSON MOSS CRNP
4440 FRUITVILLE RD
SARASOTA, FL 34232-1926
Phone number: 941-366-0134