Gregory Keith Mosolf, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME79101 Issued in FL

Practice address

14197 Spartina CT
Jacksonville, FL 32224-3225

Phone

(904) 249-3858

Fax

(904) 592-5324

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gmosolf@mosolfpediatricspa.amazing-direct.com
• Direct secure messaging: mmosolf@mosolfpediatricspa.amazing-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mosolf Pediatrics PA

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1144357690
  NPD (past) Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1932182946",
    "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": {
        "last_name": "MOSOLF",
        "first_name": "GREGORY",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME79101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letrenna Christina Mosley
• Rejone Mosley
• Tarnekia Mosley
• Tiffany Mosley
• Mosolf Pediatrics PA
• Johanna Isabel Mosquera, MD
• Moss Counseling Services
• Moss SLP Therapy LLC
• Najira Moss-Davis
• David R Moss, M.D.

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.