# MORONTA MEDICAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194021410
- **Authorized official:** MISS AMELIA MORONTA (ADMINISTRATOR)
- **Authorized official phone:** (786) 970-2697

## Contact information

- **Practice address:** 2740 SW 97TH AVE, 111, MIAMI, FL 33165-2681
- **Practice address phone:** (786) 970-2697
- **Practice address fax:** (305) 222-6003
- **Mailing address:** 2740 SW 97TH AVE, 111, MIAMI, FL 33165-2681
- **Mailing address phone:** (786) 970-2697
- **Mailing address fax:** (305) 222-6003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2011
- **Last updated:** 02/03/2011