Mosborg, David A
Mosborg, David A is an sole proprietor health care provider with primary practice located at 1895 Kingsley Ave Suite 703, Orange Park FL 32073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mosborg, David A can be contacted via phone (904) 276-1446.Contact Information
Primary practice address
1895 Kingsley Ave Suite 703
Orange Park FL 32073
Phone: (904) 276-1446
Fax: (904) 276-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME0061356 | Florida |
Profile Details
| NPI number | 1649236332 |
|---|---|
| LBN Legal business name | Mosborg, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Sep 11th, 2007 - about 17 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649236332 | NPPES |
| Florida | Other | 14755 | BCBS OF FL |
| Florida | Other | 219186 | BCBS OF FL |
| Florida | Other | 2145892002 | BCBS OF FL |
| Florida | Other | 4275862 | BCBS OF FL |
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