Individual provider · Type 1 NPI
Joseph Samuel Moak Iii, MD
Facial Plastic Surgery Physician · Tavares, FL
NPI number
1164867644
Active
Practice location
1819 Salk Ave
Tavares, FL 32778-4311
Fax (352) 343-1618
Mailing address
601 E Dixie Ave Ste 901
Leesburg, FL 34748-5998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | ME141155 (FL) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | ME141155 (FL) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
3 other providers at this address
About NPI 1164867644
Joseph Samuel Moak Iii, MD's National Provider Identifier is 1164867644, issued on May 9, 2013. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Tavares, FL. The record was last updated on Jul 2, 2019.