| Stephen Mosley Pa-c Llc | |
|
64 Pine Knoll Ln Santa Rosa Beach FL 32459-4588 | |
| (770) 757-2190 | |
| Not Available |
| Full Name | Stephen Mosley Pa-c Llc |
|---|---|
| Speciality | Physician Assistant |
| Location | 64 Pine Knoll Ln, Santa Rosa Beach, Florida |
| Authorized Official Name and Position | Stephen Mosley (PRESIDENT) |
| Authorized Official Contact | 7707572190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Mosley Pa-c Llc 64 Pine Knoll Ln Santa Rosa Beach FL 32459-4588 Ph: (770) 757-2190 | Stephen Mosley Pa-c Llc 64 Pine Knoll Ln Santa Rosa Beach FL 32459-4588 Ph: (770) 757-2190 |
| NPI Number | 1083379366 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 2668862293 |
|---|---|
| Medicare Enrollment ID | O20211214000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083379366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Provider Name | Lauren E Karesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114401379 PECOS PAC ID: 5597098012 Enrollment ID: I20230929000095 |
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