DAVID P MOSCH DO PA
Marriage and Family Therapists at Alexandria Blvd, Oviedo, FL

License number
Florida OS5746
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DAVID P MOSCH DO
Title: PRESIDENT
Phone: (407) 359-7997
Address
Address
100 Alexandria Blvd SUITE 1, Oviedo, FL 32765
National Provider ID: 1083634844
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID P. MOSCH, D.O., PA

Oviedo, FL

Status:
Inactive
Industry:
Nonclassifiable Establishments, Osteopathic Physician's Office
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Nov 1, 1990
Inactive since:
Jun 5, 1998
Addresses:
100 Alexandria Blvd SUITE 1, Oviedo, FL 32765 (Physical)
592 Long Lk Dr, Oviedo, FL 32765 (Mailing)
State ID:
S10505
Business type:
Florida Profit Corporation
President, Director, Secretary, Treasurer:
David P. Mosch (President, Director, Secretary, Treasurer), 592 Long Lk Dr, Oviedo, FL 32765 (Physical)
Agent:
David Mosch,592 Long Lk Dr, Oviedo, FL 32765 (Physical)
EIN:
59-3039258

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