| Harvey Mossak Oral & Maxillofacial Surgery, Pllc | |
|
1211 E Kennedy Blvd Unit 223 Tampa FL 33602-3559 | |
| (972) 572-0599 | |
| (813) 654-7824 |
| Full Name | Harvey Mossak Oral & Maxillofacial Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1211 E Kennedy Blvd Unit 223, Tampa, Florida |
| Authorized Official Name and Position | Harvey Mossak (ORAL SURGEON) |
| Authorized Official Contact | 9735720599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey Mossak Oral & Maxillofacial Surgery, Pllc 1211 E Kennedy Blvd Unit 223 Tampa FL 33602-3559 Ph: (972) 572-0599 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc 1211 E Kennedy Blvd Unit 223 Tampa FL 33602-3559 Ph: (972) 572-0599 |
| NPI Number | 1952871030 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952871030 | NPI | - | NPPES |
| 631YO | Other | FL | FLORIDA BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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