Organization
MORAN KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANIE MARIE MORAN CSFA (MANAGER)
(561) 990-2663
Entity
Organization
Contact information
Practice address
9980 CENTRAL PARK BLVD N, BOCA RATON, FL 33428-1762
(561) 990-2663
Mailing address
9394 COBBLESTONE BROOKE CT, BOYNTON BEACH, FL 33472-4429
(630) 362-1049
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376541326
—
IL
05
—
650213201
—
IL
Enumeration date
01/16/2019
Last updated
03/07/2023
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