1548834450 NPI number — JESSICA L MOSCOSO NP-C

Table of content: JESSICA L MOSCOSO NP-C (NPI 1548834450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548834450 NPI number — JESSICA L MOSCOSO NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOSCOSO
Provider First Name:
JESSICA
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548834450
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 W MILLER ST UNIT 435
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRUITLAND PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34731-7018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-399-8124
Provider Business Mailing Address Fax Number:
352-309-6155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
104 W. MILLER ST. #435
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRUITLAND PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-399-8124
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN11013142 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 112862000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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