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NPI Code Detail

MEDICARE: DR. WALTER ENRIQUE MOSCOSO M.D.

MEDICARE: DR. WALTER ENRIQUE MOSCOSO M.D.
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
1207WX0107XRetina Specialist (Ophthalmology) PhysicianME64743FL
2207W00000XOphthalmology PhysicianME64743FL

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 : 1992703854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER ENRIQUE MOSCOSO M.D.
Provider Business Mailing Address
First Line : 6329 GALL BLVD
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-2515
Country : US
Telephone Number : 813-788-7616
Fax Number : 813-783-2856
Provider Business Practice Location Address
First Line : 6329 GALL BLVD
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-2515
Country : US
Telephone Number : 813-788-7616
Fax Number : 813-783-2856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 06/25/2026

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