Moussa, Malinda M.

Moussa, Malinda M. is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 110&190 , Jacksonville Beach FL 32250-3233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moussa, Malinda M. can be contacted via phone (904) 247-5514.

Contact Information

Primary practice address
1361 13Th Ave S Ste 110&190 Jacksonville Beach FL 32250-3233
Phone: (904) 247-5514
Fax: (904) 247-3363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN2547972 Florida

Profile Details

NPI number 1801831698
LBN Legal business name Moussa, Malinda M.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Feb 27th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801831698 NPPES
Florida MEDICAID 002226500

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