Healthcare Provider Details

I. General information

NPI: 1023992963
Provider Name (Legal Business Name): LAUNCHPAD PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 W EAU GALLIE BLVD
MELBOURNE FL
32935-4085
US

IV. Provider business mailing address

2025 W EAU GALLIE BLVD
MELBOURNE FL
32935-4085
US

V. Phone/Fax

Practice location:
  • Phone: 646-425-0720
  • Fax:
Mailing address:
  • Phone: 321-600-4104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL MOONEY
Title or Position: OWNER
Credential: MD
Phone: 321-600-4104