Palm Leaf Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PALM LEAF PEDIATRICS

Practice address

7300 SW 93Rd Ave Ste 210
Miami, FL 33173-3212

Phone

(305) 596-3100

Fax

(305) 596-3909

NPI assigned

Jun 28, 2018

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Roberta Moro, MDNPI 1245477231

Title

President

Phone

(307) 622-7756

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Roberta Moro, M.D

  • Pediatrics Physician
  • Miami, FL
  • NPI 1245477231
  NPD Authorized official
• Ana Luiza Loviat Souza, M.D.

  • Pediatrics Physician
  • Jackson, MS
  • NPI 1518270164
  NPD (past)

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1619462991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 93RD AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733212",
            "telephone_number": "305-596-3100",
            "fax_number": "305-596-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 93RD AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733212",
            "telephone_number": "305-596-3100",
            "fax_number": "305-596-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9360 SW 72nd St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733287",
            "country_code": "US",
            "telephone_number": "305-596-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM LEAF PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "MORO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ROBERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-622-7756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach General Surgery LLC
• Palm Beach General Surgery LLC
• Palm Beach Recovery LLC (Family Recovery Specialists)
• Palm Gardens Residential Adult Home, LLC.
• Palm Haven Home Care LLC
• Palm Medical Center Little Havana, LLC
• Palm Medical Center, LLC
• Palm Partners Rehab Center
• Palm Psychiatric, Inc
• Palm Shiraz (Modern Meds)

• Pediatrics Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.