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NPI Code Detail

MEDICARE: VIRGIL MOSU ARNP

MEDICARE: VIRGIL MOSU ARNP
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
1363LF0000XFamily Nurse PractitionerARNP3170972FL
2363LF0000XFamily Nurse Practitioner5004025NC

General Provider Information

NPI Number : 1720080310
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGIL MOSU ARNP
Provider Business Mailing Address
First Line : 2400 STATE ROAD 415
Second Line :
City : SANFORD
State : FL
Zip : 32771
Country : US
Telephone Number : 407-322-8645
Fax Number : 407-322-0725
Provider Business Practice Location Address
First Line : 1301 FAYETTEVILLE ST
Second Line :
City : DURHAM
State : NC
Zip : 27707-2325
Country : US
Telephone Number : 919-956-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 08/30/2022

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Directions to “ VIRGIL MOSU ARNP” Practice Location

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