Moscow, Jeffrey Marc

Moscow, Jeffrey Marc is an individual health care provider with primary practice located at 2200 W Bay Dr , Largo FL 33770-1929. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moscow, Jeffrey Marc can be contacted via phone (727) 518-2977.

Contact Information

Primary practice address
2200 W Bay Dr Largo FL 33770-1929
Phone: (727) 518-2977
Fax: (727) 518-0010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8809 Florida

Profile Details

NPI number 1316947955
LBN Legal business name Moscow, Jeffrey Marc
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Sep 14th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316947955 NPPES
Florida MEDICAID 381875600

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