Moonlight Orthotics LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOONLIGHT ORTHOTICS LLC

Practice address

1926 Hollywood Blvd Ste 301
Hollywood, FL 33020-4543

Phone

(954) 516-0850

Fax

(954) 516-0870

NPI assigned

Jun 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vladimir De la Hoz

Title

Ceo/President

Phone

(954) 516-0850

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1437880333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 HOLLYWOOD BLVD STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204543",
            "telephone_number": "954-516-0850",
            "fax_number": "954-516-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 HOLLYWOOD BLVD STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204543",
            "telephone_number": "954-516-0850",
            "fax_number": "954-516-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "DE LA HOZ",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "954-516-0850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Montgomery, AU.D.
• Monica Montoto
• Franklin S Montoya
• Vanessa Dolores Montoya, MS, CCC-SLP
• Caitlin Moody
• Jasmine Marie Moore
• Julian O'Neil Moore
• Monica Moore, C.N.A, H.H.A
• Terri F Moore
• Noel J Mora, MD

• Durable Medical Equipment & Medical Supplies in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.