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NPI Code Detail

MEDICARE: DR. DAMON THOMAS MOSS D.C.

MEDICARE: DR. DAMON THOMAS MOSS D.C.
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
1111N00000XChiropractorCH9024FL

General Provider Information

NPI Number : 1184783300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAMON THOMAS MOSS D.C.
Provider Business Mailing Address
First Line : 4361 NORTHLAKE BLVD
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-6253
Country : US
Telephone Number : 561-627-7771
Fax Number : 561-627-5948
Provider Business Practice Location Address
First Line : 4361 NORTHLAKE BLVD
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-6253
Country : US
Telephone Number : 561-627-7771
Fax Number : 561-627-5948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 06/25/2021

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