Organization
MORENO SPINE AND SCOLIOSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY P MORENO MD (PRESIDENT)
(727) 669-5300
Entity
Organization
Contact information
Practice address
1800 MEASE DR, SAFETY HARBOR, FL 34695-4659
(727) 669-5300
(727) 669-5366
Mailing address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 250, TAMPA, FL 33607-6383
(813) 870-1206
(813) 887-7591
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ME68236
FL
Other
Enumeration date
08/22/2007
Last updated
04/29/2008
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