Moss, Douglas Brian

Moss, Douglas Brian is an individual health care provider with primary practice located at 7855 38Th Ave N Ste 200 , St Petersburg FL 33710-1134. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Moss, Douglas Brian can be contacted via phone (727) 302-9500.

Contact Information

Primary practice address
7855 38Th Ave N Ste 200 St Petersburg FL 33710-1134
Phone: (727) 302-9500
Fax: (727) 302-9504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO3311 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3311 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3311 Florida

Profile Details

NPI number 1609801687
LBN Legal business name Moss, Douglas Brian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Nov 10th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609801687 NPPES
Florida MEDICAID 340659800

Popular Providers