Dr. John Anthony Moss
Vascular Surgeon
6821 Palisades Park Ct Ste 1
Fort Myers
, Florida 33912-7131
Dr. John Anthony Moss
Vascular Surgeon
6821 Palisades Park Ct Ste 1
Fort Myers
, Florida 33912-7131
(239) 936-5611
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Anthony Moss
- 6821 Palisades Park Ct Ste 1
- Fort Myers, FL
- Zip : 33912-7131
- Fax : (239) 936-5611
- Phone : (239) 936-8555
Second Address
- Dr. John Anthony Moss
- 6821 Palisades Park Ct Ste 1
- Fort Myers, FL
- Zip : 33912-7131
- Fax : (239) 936-5611
- Phone : (239) 936-8555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | OS9710 | FL |
National Provider Identifier
| NPI | 1063411841 |
|---|---|
| Provider Name | Dr. John Anthony Moss |
| First Address | Fort Myers, FL 33912-7131 |
| Second Address | Fort Myers, FL 33912-7131 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2005 |
| Last Update Date | 05/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 274607700 | (05) | FL |
| H13936 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.