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NPI Code Detail

MEDICARE: DR. ORLANDO C. MORENO M.D.

MEDICARE:  DR. ORLANDO C. MORENO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine PhysicianME90254FL

Other Identifiers

General Provider Information

NPI Number : 1003874454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ORLANDO C. MORENO M.D.
Provider Business Mailing Address
First Line : 16415 DUNOON CT
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6047
Country : US
Telephone Number : 305-820-0704
Fax Number : 305-698-7780
Provider Business Practice Location Address
First Line : 4835 E 4TH AVE
Second Line : SUITE B
City : HIALEAH
State : FL
Zip : 33013-1814
Country : US
Telephone Number : 786-431-1376
Fax Number : 786-431-1377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 02/10/2009

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