Organization
PALM LEAF PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ROBERTA MORO MD (PRESIDENT)
(307) 622-7756
Entity
Organization
Contact information
Practice address
7300 SW 93RD AVE STE 210, MIAMI, FL 33173-3212
(305) 596-3100
(305) 596-3909
Mailing address
7300 SW 93RD AVE STE 210, MIAMI, FL 33173-3212
(305) 596-3100
(305) 596-3909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212200
—
FL
Enumeration date
06/28/2018
Last updated
07/14/2020
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