Cory Adam Moogerfeld, PA-C

NPI #1013660851 in Lakeland, Florida

Provider Information

NPI Number: 1013660851
Entity Type: Individual
Name: Cory Adam Moogerfeld, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 1, 2022
Last Updated: Aug 5, 2022

Practice Location

Address: 1324 LAKELAND HILLS BLVD
City: Lakeland
State: Florida
ZIP Code: 33805-4543
Phone: (863) 687-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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