Dr Jennifer Moscoso Conde, DO is a
Dermatology physician based in Lithia, Florida. Dr Jennifer Moscoso Conde is licensed to practice in Florida (license number OS12902) and her current practice location is 5627 Skyop Drive, Lithia, Florida. She can be reached at her office (for appointments etc.) via phone at
(813) 530-6511.
NPI number for Dr Jennifer Moscoso Conde is 1578978516 and her current mailing address is 5627 Skytop Dr, Lithia, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578978516.
Physician's Profile
| Full Name | Dr Jennifer Moscoso Conde |
|---|
| Gender | Female |
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| Speciality | Dermatology |
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| Location | 5627 Skyop Drive, Lithia, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578978516
- Provider Enumeration Date: 06/29/2014
- Last Update Date: 03/16/2024
Medical Identifiers
Medical identifiers for Dr Jennifer Moscoso Conde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578978516 | NPI | - | NPPES |
| IZ758Z | Other | FL | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | OS12902 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Moscoso Conde is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Moscoso Conde, DO
5627 Skytop Dr,
Lithia, FL 33547-4165
Ph: () - | Dr Jennifer Moscoso Conde, DO
5627 Skyop Drive,
Lithia, FL 33547
Ph: (813) 530-6511 |
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