Jeffrey Glenn Moskowitz
Procedural Dermatology
1000 W Broadway St Suite 206
Oviedo
, Florida 32765-9260
Jeffrey Glenn Moskowitz
Procedural Dermatology
1000 W Broadway St Suite 206
Oviedo
, Florida 32765-9260
(407) 992-7701
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Jeffrey Glenn Moskowitz
- 70 W Gore St Suite 200a
- Orlando, FL
- Zip : 32806-1124
- Fax : (407) 992-7701
- Phone : (407) 581-2888
Second Address
- Jeffrey Glenn Moskowitz
- 1000 W Broadway St Suite 206
- Oviedo, FL
- Zip : 32765-9260
- Fax : (407) 992-7701
- Phone : (407) 581-2888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | ME79584 | FL |
National Provider Identifier
| NPI | 1558363952 |
|---|---|
| Provider Name | Jeffrey Glenn Moskowitz |
| First Address | Orlando, FL 32806-1124 |
| Second Address | Oviedo, FL 32765-9260 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2005 |
| Last Update Date | 31/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 25862580 | (05) | FL |
| 45910 | BCBSHLD GRP# (01) | FL |
| 49836 | BLUE CROSS BL/SLD IND # (01) | FL |
| H13997 | (02) | FL |
| K2836 | MEDICARE GRP # (01) | FL |
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.