Doctor Name: | DR. ROBERT ALLEN MORAN |
NPI Number: | 1629012125 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 184693 |
Business Practice Address: | 2200 N. Florida Mango Road Suite 201 West Palm Beach, FL - 334096464 |
Business Phone Number: | 5612965288 |
Business Fax Number: | 5612965287 |
Mailing Address: | 2200 N. Florida Mango Road, Suite 201 WEST PALM BEACH |
State: | FL |
Postal Code: | 334096464 |
Phone Number: | 5612965288 |
Fax Number: | 5612965287 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 184693 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |