Moss, Stephanie R.

Moss, Stephanie R. is an sole proprietor health care provider with primary practice located at 1611 Nw 12Th Ave Central 766 (D39), Miami FL 33136-1005. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Moss, Stephanie R. can be contacted via phone (305) 585-5535.

Contact Information

Primary practice address
1611 Nw 12Th Ave Central 766 (D39) Miami FL 33136-1005
Fax: (305) 585-8109
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 2159342 Florida

Profile Details

NPI number 1154342426
LBN Legal business name Moss, Stephanie R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1154342426 NPPES
Florida Other 2159342 ARNP LICENSE NUMBER

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