MRS. MALINDA M. MOUSSA


Address: 1361 13th Ave S Ste 110&190, Jacksonville Beach, FL 32250-3233
Phone: 9042475514

MRS. MALINDA M. MOUSSA (NPI# 1801831698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801831698
Entity Type Individual
Full Name MRS. MALINDA M. MOUSSA
Other Name MISS MALINDA M. SUBHAKUL
Credential A.P.R.N.
Practice Address 1361 13th Ave S Ste 110&190
Jacksonville Beach
FL 32250-3233
Mailing Address Po Box 25317
Tampa
FL 33622-5317
Practice Telephone 9042475514
Practice Fax Number 9042473363
Mailing Telephone 8132860033
Mailing Fax Number 8132821806
Enumeration Date 2006-06-17
Last Update Date 2019-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
APRN2547972 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 002226500 05

Office Location

Street Address 1361 13TH AVE S STE 110&190
City JACKSONVILLE BEACH
State FL
Zip Code 32250-3233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881656718 Elizabeth Morgan Walsh Obstetrics & Gynecology 1361 13th Ave S Ste 110&190, Jacksonville Beach, FL 32250-3233 2006-04-05

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336193242 Beverly S Newton Nurse Practitioner 1522 Penman Rd, Jacksonville Beach, FL 32250-3744 2006-05-22
1295176998 Esteban Garces Nurse Practitioner 1891 Beach Blvd, Suite 200, Jacksonville Beach, FL 32250-2644 2013-07-10
1841235728 Barbara Peeples Nurse Practitioner 1375 Roberts Dr Ste 206, Jacksonville Beach, FL 32250-3209 2006-06-17
1366484842 Bonni G. Titcomb Nurse Practitioner 1577 Roberts Dr, Siote 323, Jacksonville Beach, FL 32250-3264 2006-06-11

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NPI Name Taxonomy Address Enumeration
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1235648296 Lindsay Danielle Leider Nurse Practitioner 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 2017-09-21
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1780044750 Cherie Gordon Nurse Practitioner 2818 W Virginia Avenue, Tampa, FL 33607 2016-03-03
1487032967 Doris Washington Tucker Nurse Practitioner 15013 Sw 110th Ter, Miami, FL 33196-2599 2015-05-15
1962895326 University of Florida Jacksonville Physicians Inc Nurse Practitioner 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 2015-03-10
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1811324965 Dalia Philbeck Nurse Practitioner 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 2013-10-03
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Competitor

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City JACKSONVILLE BEACH
Zip Code 32250

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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