Provider Demographics
NPI:1093750333
Name:MOSSMAN, BEVERLY ALMOJERA (MD)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:ALMOJERA
Last Name:MOSSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5601 TIMUQUANA RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-8054
Mailing Address - Country:US
Mailing Address - Phone:904-771-5910
Mailing Address - Fax:904-771-1401
Practice Address - Street 1:5601 TIMUQUANA RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-8054
Practice Address - Country:US
Practice Address - Phone:904-771-5910
Practice Address - Fax:904-771-1401
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine