Mosley, Emmett Wayne
Mosley, Emmett Wayne is an individual health care provider with primary practice located at 2300 E County Road 540A , Lakeland FL 33813-3825. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mosley, Emmett Wayne can be contacted via phone (863) 607-3333.Contact Information
Primary practice address
2300 E County Road 540A
Lakeland FL 33813-3825
Phone: (863) 607-3333
Fax: (866) 264-8519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | ME102864 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME102864 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 26697 | Kentucky |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 27540 | Tennessee |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 32017 | Oklahoma |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01075699B | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 048374 | Georgia |
Profile Details
| NPI number | 1770783086 |
|---|---|
| LBN Legal business name | Mosley, Emmett Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Mar 13th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770783086 | NPPES |
| Florida | MEDICAID | 001662400 | |
| Florida | MEDICAID | 019539100 | |
| Florida | Other | LB406 | |
| Florida | Other | LE632 |
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