Moskowitz Dermatology M.D., P.L.L.C

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME79584 Issued in FL

Legal business name

MOSKOWITZ DERMATOLOGY M.D., P.L.L.C

Practice address

143 Mission Rd
Oviedo, FL 32765-9769

Phone

(407) 542-0100

Fax

(407) 992-7701

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey G Moskowitz, M.D.NPI 1558363952

Title

President

Phone

(407) 542-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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

• Jeffrey Glenn Moskowitz, MD

  • Procedural Dermatology Physician
  • Oviedo, FL
  • NPI 1558363952
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke Anne Gregory, ARNP

  • Nurse Practitioner
  • Oviedo, FL
  • NPI 1538161419
  Medicare reassignment Care Compare group NPD
• Alicia Nunez, APRN

  • Procedural Dermatology Physician
  • Oviedo, FL
  • NPI 1013579002
  Medicare reassignment Care Compare group NPD
• Elana L Shackelford, ARNP

  • Dermatology Physician
  • Orlando, FL
  • NPI 1023097623
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1609234608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 MISSION RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659769",
            "telephone_number": "407-542-0100",
            "fax_number": "407-992-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 MISSION RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659769",
            "telephone_number": "407-542-0100",
            "fax_number": "407-992-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSKOWITZ DERMATOLOGY M.D., P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-542-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME79584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258625800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Morrison
• Isabella Morrison, RBT
• Kristen Marie Morrison, M.A., CF-SLP
• Hossam Mosa
• David Paul Mosch, D.O.
• Jeffrey Glenn Moskowitz, MD
• Debbie Lynn Moulavi, NP C
• Karen Lynne Mounger, ARNP
• Traci Moyer
• Krysta Mullins

• Procedural Dermatology Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.