DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALYSSA KAY MOULDS CAA

MEDICARE: ALYSSA KAY MOULDS CAA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist AssistantAA617FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003432451
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA KAY MOULDS CAA
Provider Business Mailing Address
First Line : 8877 RUBY COVE CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4937
Country : US
Telephone Number : 248-880-7102
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-202-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2020
Last Update Date : 12/01/2025

Similar Medicare Providers

1043982242 — HALEY COOK CAA
Practice Location Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
32207-8202
Practice Phone: 904-202-8000
Practice Fax:
1750517199 — DR. TIMOTHY M WARD M.D.
Practice Location Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
32207-8202
Practice Phone: 904-396-5682
Practice Fax:
1891825972 — LISA J KARVONEN PA-C
Practice Location Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
32207-8202
Practice Phone: 904-202-1083
Practice Fax: 904-202-3393
1013913854 — DR. ANNETTE DAVIDSON BELL M.D.
Practice Location Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
32207-8202
Practice Phone: 904-396-5682
Practice Fax: 904-346-0864
1699765131 — DR. IAN S CACCAM M.D.
Practice Location Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
32207-8202
Practice Phone: 904-202-2000
Practice Fax:
1740264118 — FLORIDA ANESTHESIA ASSOCIATES P A
Practice Location Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
32207-8202
Practice Phone: 904-398-3356
Practice Fax: 904-398-5397

Directions to “ ALYSSA KAY MOULDS CAA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.