Moss, Marilyn Carol

Moss, Marilyn Carol is an individual health care provider with primary practice located at 2100 N Wickham Rd , Melbourne FL 32935-8110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moss, Marilyn Carol can be contacted via phone (321) 752-7100.

Contact Information

Primary practice address
2100 N Wickham Rd Melbourne FL 32935-8110
Phone: (321) 752-7100
Fax: (321) 752-7105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME22466 Florida

Profile Details

NPI number 1962405126
LBN Legal business name Moss, Marilyn Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 20th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962405126 NPPES
Florida MEDICAID 064147200

Popular Providers