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NPI Code Detail

MEDICARE: MR. KEVIN MOSES DPT

MEDICARE:  MR. KEVIN  MOSES  DPT
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
1225100000XPhysical TherapistPT 24129FL

General Provider Information

NPI Number : 1447532692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN MOSES DPT
Provider Business Mailing Address
First Line : PO BOX 331933
Second Line :
City : MIAMI
State : FL
Zip : 33233-1933
Country : US
Telephone Number : 305-722-0568
Fax Number : 305-670-0899
Provider Business Practice Location Address
First Line : 9619 S DIXIE HWY
Second Line :
City : PINECREST
State : FL
Zip : 33156-2804
Country : US
Telephone Number : 305-722-0568
Fax Number : 305-670-0899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2011
Last Update Date : 07/25/2022

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Directions to “ MR. KEVIN MOSES DPT” Practice Location

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