MEDICARE: ANDREAS G MORAITIS M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME124459	FL

General Provider Information

NPI Number	:	1023327418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREAS G MORAITIS M.D

Provider Business Mailing Address
First Line	:	18101 COLLINS AVE
Second Line	:	PH104
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3130
Country	:	US
Telephone Number	:	347-754-1993
Fax Number	:

Provider Business Practice Location Address
First Line	:	18101 COLLINS AVE
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3130
Country	:	US
Telephone Number	:	347-754-1993
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2010
Last Update Date	:	03/18/2016

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