Moss, R. Lawrence
Moss, R. Lawrence is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Moss, R. Lawrence can be contacted via phone (904) 697-3600.Contact Information
Primary practice address
807 Childrens Way
Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 697-3927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 35070198 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | ME140171 | Florida |
Profile Details
| NPI number | 1801879028 |
|---|---|
| LBN Legal business name | Moss, R. Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801879028 | NPPES |
| Ohio | MEDICAID | 3101057 |
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