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NPI Code Detail

MEDICARE: DR. CLAYTON ACREE MOSS III MD

MEDICARE: DR. CLAYTON ACREE MOSS III MD
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
1208100000XPhysical Medicine & Rehabilitation PhysicianME171913FL

General Provider Information

NPI Number : 1790425999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAYTON ACREE MOSS III MD
Provider Business Mailing Address
First Line : 2505 W TEXAS AVE APT C
Second Line :
City : TAMPA
State : FL
Zip : 33629-6321
Country : US
Telephone Number : 850-607-1164
Fax Number :
Provider Business Practice Location Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number : 813-716-5794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 03/23/2026

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