Provider Demographics
NPI:1316169725
Name:MOSES INC.
Entity type:Organization
Organization Name:MOSES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-323-5000
Mailing Address - Street 1:3661 S ORLANDO DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-5611
Mailing Address - Country:US
Mailing Address - Phone:407-323-5000
Mailing Address - Fax:407-323-7645
Practice Address - Street 1:3661 S ORLANDO DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-5611
Practice Address - Country:US
Practice Address - Phone:407-323-5000
Practice Address - Fax:407-323-7645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier