Moss, John Anthony

Moss, John Anthony is an individual health care provider with primary practice located at 6821 Palisades Park Ct Ste 1 , Fort Myers FL 33912-7131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Moss, John Anthony can be contacted via phone (239) 936-8555.

Contact Information

Primary practice address
6821 Palisades Park Ct Ste 1 Fort Myers FL 33912-7131
Phone: (239) 936-8555
Fax: (239) 936-5611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X OS9710 Florida

Profile Details

NPI number 1063411841
LBN Legal business name Moss, John Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Nov 5th, 2019 - about 5 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 1063411841 NPPES
Florida MEDICAID 274607700

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