Moss Podiatry

LBN: Moss Restorative Foot & Ankle Center, Pllc
Moss Podiatry is an health care organization with primary practice located at 7855 38Th Ave N Ste 200 , St Petersburg FL 33710-1134. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Moss Restorative Foot & Ankle Center, Pllc can be contacted via phone (727) 302-9500, or through Moss, Douglas Brian via phone (727) 641-2999.

Contact Information

Primary practice address
7855 38Th Ave N Ste 200 St Petersburg FL 33710-1134
Fax: (727) 302-9504
Website:
Authorized official contact:
Name: Moss, Douglas Brian Doctor of Podiatric Medicine (DPM)

Profile Details

NPI number 1114584125
LBN Legal business name Moss Restorative Foot & Ankle Center, Pllc
DBA Doing business as Moss Podiatry
Authorized official Moss, Douglas Brian Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2019
Last updated Nov 10th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114584125 NPPES
Florida MEDICAID 340659800
Florida Other 65963
Florida Other T89762
Florida MEDICAID 1039020500
Florida Other 213E00000X
Florida Other 213ES0103X
Florida Other 11429703

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