Organization
MICKAELLA MORETA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICKAELLA MORETA PHD (PRESIDENT)
(941) 351-2221
Entity
Organization
Contact information
Practice address
2401 UNIVERSITY PKWY BLDG 1, SUITE 203, SARASOTA, FL 34243-2893
(941) 351-2221
(941) 761-6903
Mailing address
2401 UNIVERSITY PKWY BLDG 1, SUITE 203, SARASOTA, FL 34243-2893
(941) 351-2221
(941) 761-6903
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PPY185
FL
Other
Enumeration date
06/10/2014
Last updated
12/30/2014
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