Organization
MORENO SPINE AND SCOLIOSIS PLLC
Active
Organization
MORENO SPINE AND SCOLIOSIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PETER MORENO M.D. (PRESIDENT)
(727) 669-5300
Entity
Organization
Contact information
Practice address
3251 N MCMULLEN BOOTH RD STE 301, CLEARWATER, FL 33761-2022
(727) 669-5300
(727) 669-5366
Mailing address
3251 N MCMULLEN BOOTH RD STE 301, CLEARWATER, FL 33761-2022
(727) 669-5300
(727) 669-5366
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
01/09/2007
Last updated
03/17/2018
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