| Marilyn C. Moss, M.d. | |
|
3210 N Wickham Rd Suite 1 Melbourne FL 32935-2300 | |
| (321) 752-7100 | |
| (321) 752-7105 |
| Full Name | Marilyn C. Moss, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 3210 N Wickham Rd, Melbourne, Florida |
| Authorized Official Name and Position | Marilyn Carol Moss (PHYSICIAN AND OWNER) |
| Authorized Official Contact | 3217527100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn C. Moss, M.d. 3210 N Wickham Rd Suite 1 Melbourne FL 32935-2300 Ph: (321) 752-7100 | Marilyn C. Moss, M.d. 3210 N Wickham Rd Suite 1 Melbourne FL 32935-2300 Ph: (321) 752-7100 |
| NPI Number | 1801914858 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801914858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME22466 (Florida) | Primary |
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