Organization Active NPI

Moreno Spine and Scoliosis PLLC

  • Durable Medical Equipment & Medical Supplies
  • Clearwater, FL
National Provider Identifier
1962695098
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
ME68236 Issued in FL
Legal business name
MORENO SPINE AND SCOLIOSIS PLLC
Practice address
3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761
Phone
(727) 669-5300
Fax
(727) 669-5366
NPI assigned
Aug 22, 2007
Organization subpart
Yes
Parent organization
MORENO SPINE AND SCOLIOSISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Dr. Anthony P Moreno, MD
Title
Owner/Orthopedic Spine Surgeon
Phone
(727) 669-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ME68236 FL Primary

Addresses

Primary practice location

3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761

Mailing address

3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761-2022
Phone (727) 669-5300

Other practice location 1

1800 Mease Dr
Safety Harbor, FL 34695-4659
Phone (727) 669-5300

Other practice location 2

1800 Mease Dr
Safety Harbor, FL 34695
Phone (727) 669-5300

Other practice location 3

2808 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6306
Phone (813) 870-1206

Other practice location 4

1800 Mease Dr
Safety Harbor, FL 34695
Phone (727) 669-5300

National Provider Directory

National Provider Directory
Part of
Moreno Spine and Scoliosis

Locations

3251 N McMullen Booth Rd
Ste 301
Clearwater, FL 33761
Phone (727) 669-5300

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1962695098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mease Dr",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "346954659",
            "country_code": "US",
            "telephone_number": "727-669-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Mease Dr",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "34695",
            "country_code": "US",
            "telephone_number": "727-669-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2808 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076306",
            "country_code": "US",
            "telephone_number": "813-870-1206",
            "fax_number": "727-669-5366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Mease Dr",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "34695",
            "country_code": "US",
            "telephone_number": "727-669-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORENO SPINE AND SCOLIOSIS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORENO SPINE AND SCOLIOSIS",
        "enumeration_date": "2007-08-22",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/ORTHOPEDIC SPINE SURGEON",
        "authorized_official_telephone_number": "727-669-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ME68236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.