Mosolf Pediatrics PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MOSOLF PEDIATRICS PA

Practice address

14197 Spartina CT
Jacksonville, FL 32224-3225

Phone

(904) 249-3858

Fax

(904) 592-5324

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory K Mosolf, MDNPI 1932182946

Title

President

Phone

(904) 249-3858

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Keith Mosolf, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1932182946
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1144357690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14197 SPARTINA CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243225",
            "telephone_number": "904-249-3858",
            "fax_number": "904-592-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14197 SPARTINA CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243225",
            "telephone_number": "904-249-3858",
            "fax_number": "904-592-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSOLF PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "MOSOLF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-249-3858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Nicholle Mosley, LMHC
• Letrenna Christina Mosley
• Rejone Mosley
• Tarnekia Mosley
• Tiffany Mosley
• Gregory Keith Mosolf, MD
• Johanna Isabel Mosquera, MD
• Moss Counseling Services
• Moss SLP Therapy LLC
• Najira Moss-Davis

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.