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General NPI Number Information
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NPI Number | 1962475806
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Entity Type | Individual
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Provider Name | MARLENE R MOSTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 7800 W OAKLAND PARK BLVD UNIT 205
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City | SUNRISE
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State | FL
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Zip | 33351-6741
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Country | US
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Telephone | 954-859-2020
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Fax | 954-736-4344
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Provider Business Mailing Address
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Address Line | 7800 W OAKLAND DRIVE UNIT 205
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City | SUNRISE
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State | FL
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Zip | 33351-6741
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Country | US
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Telephone | 954-859-2020
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Fax | 954-736-4344
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD024149E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C1-0003844
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | MD024149E
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | C1-0003844
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License Number State | DE
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