Organization
PATHOLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY S MORELAND M.D. (DIRECTOR)
(305) 665-4614
Entity
Organization
Contact information
Practice address
1717 N E ST, SUITE 227, PENSACOLA, FL 32501-6339
(305) 665-4614
Mailing address
5901 SW 74TH ST, SUITE 202, MIAMI, FL 33143-5165
(305) 665-4614
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056546600
—
FL
Enumeration date
07/16/2006
Last updated
03/06/2009
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