MICKAELLA MORETA CORP (NPI# 1790198463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790198463 |
| Entity Type | Organization |
| Organization Name | MICKAELLA MORETA CORP |
| Practice Address |
2401 University Pkwy Bldg 1 Suite 203 Sarasota FL 34243-2893 |
| Practice Telephone | 9413512221 |
| Practice Fax Number | 9417616903 |
| Mailing Telephone | 9413512221 |
| Mailing Fax Number | 9417616903 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-12-30 |
| Authorized Official Name | DR. MICKAELLA MORETA (PRESIDENT) |
| Authorized Official Telephone | 9413512221 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PPY185 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2401 UNIVERSITY PKWY BLDG 1 SUITE 203 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243-2893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821477944 | William Siff | Psychologist | 1255 N Gulfstream Ave Apt 604, Sarasota, FL 34236-8927 | 2015-05-21 |
| 1396140489 | Baird Psychology Services, LLC | Psychologist | 2831 Ringling Blvd Ste 207c, Sarasota, FL 34237-5351 | 2014-10-31 |
| 1205155900 | John Samuel Kleinbaum | Psychologist | 7414 Linden Ln, Sarasota, FL 34243-5129 | 2010-05-20 |
| 1023269941 | Amy L Hoffman | Psychologist | 2844 Proctor Rd, Suite 3, Sarasota, FL 34231-6424 | 2008-10-09 |
| 1235326067 | Valeria Lynette Moore | Psychologist | 200 Herons Run Dr Apt 219, Sarasota, FL 34232-1760 | 2007-09-25 |
| 1962526780 | Marvin Keith Hendon | Psychologist | 240 North Washington Boulevard, 308, Sarasota, FL 34236 | 2007-03-19 |
| 1821129479 | Deborah Huntley | Psychologist | 4576 Ascot Cir S, Sarasota, FL 34235-3612 | 2007-03-07 |
| 1639204647 | Jessie Williams | Psychologist | 1221 S Tamiami Trl, Sarasota, FL 34239-2208 | 2007-02-22 |
| 1295892768 | Tara Michele Files-hall | Psychologist | 6977 Professional Parkway East, Sarasota, FL 34240-8411 | 2007-01-03 |
| 1760541973 | James M. Lemli | Psychologist | 3900 Clark Rd Ste D1, Sarasota, FL 34233-2371 | 2006-12-06 |
| Find all providers in SARASOTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.