Moskal, Nicole

Moskal, Nicole is an individual health care provider with primary practice located at 1925 Mizell Ave Ste 105 , Winter Park FL 32792-4155. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moskal, Nicole can be contacted via phone (407) 646-7410.

Contact Information

Primary practice address
1925 Mizell Ave Ste 105 Winter Park FL 32792-4155
Phone: (407) 646-7410
Fax: (407) 646-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003708 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9108054 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108054 Florida

Profile Details

NPI number 1972844660
LBN Legal business name Moskal, Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2013
Last updated Sep 20th, 2022 - about 2 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 1972844660 NPPES
Florida Other 1109921 NCCPA CERT

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