Individual provider · Type 1 NPI

R. Lawrence Moss, MD

Pediatric Surgery Physician · Jacksonville, FL

NPI number 1801879028 Active

Practice location

807 Childrens Way
Jacksonville, FL 32207-8426

Fax (904) 697-3927

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician 2086S0120X35070198 (OH)
Pediatric Surgery Physician Primary 2086S0120XME140171 (FL)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1801879028

R. Lawrence Moss, MD's National Provider Identifier is 1801879028, issued on Nov 22, 2005. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 7, 2023.