Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME61357 | FL |
NPI | 1336207794 |
---|---|
Provider Name | Dr. Gary G Moskovitz |
First Address | Tampa, FL 33603 |
Second Address | Tampa, FL 33603-3338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 20/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F34614 | (02) | FL |