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
Phone: (727) 302-9500
Fax: (727) 302-9504
Website:
Authorized official contact:
Name: Moss, Douglas Brian Doctor of Podiatric Medicine (DPM)
Phone: (727) 641-2999
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X |
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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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