Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME0034432 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME0034432 | FL |
N | 208200000X | Surgeon | ME0034432 | FL |
N | 208600000X | Surgeon | ME0034432 | FL |
N | 2086S0105X | Surgery of the Hand | ME0034432 | FL |
NPI | 1356348064 |
---|---|
Provider Name | Dr. Steven Harding Moss |
First Address | Brooksville, FL 34613-5414 |
Second Address | Brooksville, FL 34613-5414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 28/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D85912 | (02) | FL |