CHARLES HARRELSON MOSS III CRNP
NPI 1841447406
Nurse Practitioner - Family in Fort Walton Beach, FL

Active since August 25, 2008
1825 HURLBURT RD STE 14, FORT WALTON BEACH, FL 32547(850) 610-8820(844) 297-8690 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Harrelson Moss Iii Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES HARRELSON MOSS III CRNP (NPI 1841447406) is an individual family provider in Fort Walton Beach, Florida, licensed in Alabama (1-104360) and active in the NPI registry since August 2008. He maintains a secondary practice location in Daytona Beach.

NPPES Registry Identity

NPI1841447406
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES HARRELSON MOSS IIICredential: CRNP
Location Address1825 HURLBURT RD STE 14Fort Walton Beach, FL 32547-3737
Mailing Address4440 Fruitville RdSarasota, FL 34232-1926 · (941) 366-0134 · Fax (941) 404-1760
Fax(844) 297-8690
Sole ProprietorNo
Enumeration DateAugust 25, 2008
Last NPPES UpdateJune 25, 2019
NPI 1841447406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-104360
1825 HURLBURT RD STE 14, Fort Walton Beach, FL 32547

Secondary Practice Location 1

Location 11435 Dunn Ave Ste 101Daytona Beach, FL 32114-1434 · Phone (386) 274-7651 · Fax (877) 242-5455

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL 32547
Internal Medicine
1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL 32547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Moss's NPI number?

The NPI number for Charles Moss is 1841447406. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Charles Moss located?

Charles Moss practices at 1825 Hurlburt Rd Ste 14, Fort Walton Beach, FL 32547. The listed phone number is (850) 610-8820.

What is Charles Moss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charles Moss was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.