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Contact Information

BRIANT G. MOYLES D.P.M., P.A.
1310 W EAU GALLIE BLVD
SUITE E
MELBOURNE, FL32935-5300
 Phone: 321-255-3338
 Fax: 321-253-9643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIANT G. MOYLES D.P.M., P.A.

NPI # 1194998286
LBN Legal business name BRIANT G. MOYLES D.P.M., P.A.
Authorized official RICHARD WILSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2008
Last updated 02/23/2023 - About 3 years ago
Identifiers
FL Medicaid 041009800
FL Other 72224 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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