Healthcare Provider Details

I. General information

NPI: 1972782225
Provider Name (Legal Business Name): HEALTHY STEPS PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 SW 75TH ST
GAINESVILLE FL
32607-3425
US

IV. Provider business mailing address

2005 SW 75TH ST
GAINESVILLE FL
32607-3425
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-0085
  • Fax: 352-333-0174
Mailing address:
  • Phone: 352-333-0085
  • Fax: 352-333-0174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License Number1790810760
License Number StateFL

VIII. Authorized Official

Name: DR. ANA L MOROS-HANLEY
Title or Position: PRESIDENT
Credential: MD
Phone: 352-333-0085