Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Moss

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1972336683

Ethan Moss is a Nurse Practitioner in Clermont, Florida. Qualified in 2024, 2 years ago. Practices with Family Life Counseling Center, a 13-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

210 N Highway 27 Ste 4
Clermont, FL 34711-2411
Phone: (352) 988-6673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1965 S Orange Blossom Trl, Apopka, FL 32703-7757 — (352) 708-6283
  • 100 S Kentucky Ave, Lakeland, FL 33801-5096 — (352) 708-6283
  • 858 S Duncan Dr, Tavares, FL 32778-4044 — (352) 708-6283
  • 9100 Conroy Windermere Rd, Windermere, FL 34786-8431 — (352) 708-6283

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11034243 (FL)

Record details

NPI number1972336683
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address210 N Highway 27 Ste 4, Clermont, FL 34711-2411

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Family Life Counseling Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clermont