Provider Demographics
NPI:1790309797
Name:MORANO, THOMAS V (LMT,MMP)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:V
Last Name:MORANO
Suffix:
Gender:M
Credentials:LMT,MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14988 FIRESTONE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-5077
Mailing Address - Country:US
Mailing Address - Phone:908-523-7285
Mailing Address - Fax:
Practice Address - Street 1:14988 FIRESTONE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-5077
Practice Address - Country:US
Practice Address - Phone:908-523-7285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA88824225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist