Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUIS ANTONIO MORENO, MD
ActiveDR. LUIS ANTONIO MORENO, MD is a General Practice healthcare provider located in EDGEWATER, Florida. NPI 1538372958 is currently active in the NPPES registry. Verify at CMS.
General Practice · EDGEWATER, FL
Registration Details
- NPI Number
- 1538372958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2007 (19.316185463198 yrs)
- Last Updated
- Nov 16, 2021
- Licenses
-
ME 88233 (FL)ME88233 (FL)
Practice Information
- Address
-
2984 S RIDGEWOOD AVE STE 1EDGEWATER, FL, 321417515Browse FL providers · Browse ZIP 32141
- Phone
- 3864284640
- Fax
- 3864261409
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in EDGEWATER, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. PAULA ADELLE HALL | D.O. | 1538156146 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.