# MORENO SPINE AND SCOLIOSIS

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

## Provider details

- **NPI number:** 1508059635
- **Authorized official:** ANTHONY P MORENO MD (PRESIDENT)
- **Authorized official phone:** (727) 669-5300

## Contact information

- **Practice address:** 1800 MEASE DR, SAFETY HARBOR, FL 34695-4659
- **Practice address phone:** (727) 669-5300
- **Practice address fax:** (727) 669-5366
- **Mailing address:** 2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 250, TAMPA, FL 33607-6383
- **Mailing address phone:** (813) 870-1206
- **Mailing address fax:** (813) 887-7591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | ME68236 | FL | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 04/29/2008