Stephen Mosley PA-C LLC
Physician Assistant in Santa Rosa Beach, FL. Organization (NPI-2).
NPI number1083379366
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1083379366
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephen Mosley PA-C LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2021
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
64 Pine Knoll LnSanta Rosa Beach, FL 32459-4588
Phone 770-757-2190
Mailing address
64 Pine Knoll LnSanta Rosa Beach, FL 32459-4588
Phone 770-757-2190
Authorized official
Stephen Mosley
President
7707572190
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Other Physician Assistant providers in Santa Rosa Beach, FL
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