Provider Demographics
NPI:1346553526
Name:ALL MY KIDS PEDIATRICS
Entity Type:Organization
Organization Name:ALL MY KIDS PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIELY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES-MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-814-4934
Mailing Address - Street 1:515 N PARK AVE
Mailing Address - Street 2:#106
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-3634
Mailing Address - Country:US
Mailing Address - Phone:407-814-4934
Mailing Address - Fax:407-814-4936
Practice Address - Street 1:515 N PARK AVE
Practice Address - Street 2:#106
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-3634
Practice Address - Country:US
Practice Address - Phone:407-814-4934
Practice Address - Fax:407-814-4936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-16
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86243208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266172100Medicaid