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NPI Code Detail

MEDICARE: DR. JEFFREY MARC MOSCOW D.C.

MEDICARE: DR. JEFFREY MARC MOSCOW 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
1111N00000XChiropractorCH8809FL

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 : 1316947955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY MARC MOSCOW D.C.
Provider Business Mailing Address
First Line : 2200 W BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33770-1929
Country : US
Telephone Number : 727-518-2977
Fax Number : 727-518-0010
Provider Business Practice Location Address
First Line : 2200 W BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33770-1929
Country : US
Telephone Number : 727-518-2977
Fax Number : 727-518-0010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 09/14/2010

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