Conde, Jennifer Moscoso

Conde, Jennifer Moscoso is an sole proprietor health care provider with primary practice located at 5627 Skyop Drive , Lithia FL 33547. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Conde, Jennifer Moscoso can be contacted via phone (813) 530-6511.

Contact Information

Primary practice address
5627 Skyop Drive Lithia FL 33547
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS12902 Florida

Profile Details

NPI number 1578978516
LBN Legal business name Conde, Jennifer Moscoso
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2014
Last updated Mar 16th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578978516 NPPES
Florida Other IZ758Z MEDICARE

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