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General NPI Number Information
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NPI Number | 1609234608
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Entity Type | Organization
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Legal Business Name | MOSKOWITZ DERMATOLOGY M.D., P.L.L.C
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 143 MISSION RD
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City | OVIEDO
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State | FL
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Zip | 32765-9769
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Country | US
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Telephone | 407-542-0100
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Fax | 407-992-7701
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Provider Business Mailing Address
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Address Line | 143 MISSION RD
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City | OVIEDO
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State | FL
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Zip | 32765-9769
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Country | US
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Telephone | 407-542-0100
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Fax | 407-992-7701
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY G MOSKOWITZ
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Credential | M.D.
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Telephone | 407-542-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | ME79584
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License Number State | FL
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