Moskowitz, Jeffrey Glenn

Moskowitz, Jeffrey Glenn is an individual health care provider with primary practice located at 1000 W Broadway St Suite 206, Oviedo FL 32765-9260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Moskowitz, Jeffrey Glenn can be contacted via phone (407) 581-2888.

Contact Information

Primary practice address
1000 W Broadway St Suite 206 Oviedo FL 32765-9260
Phone: (407) 581-2888
Fax: (407) 992-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME79584 Florida

Profile Details

NPI number 1558363952
LBN Legal business name Moskowitz, Jeffrey Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 31st, 2008 - about 16 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 1558363952 NPPES
Florida MEDICAID 25862580
Florida Other 49836
Florida Other 45910
Florida Other K2836

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