MEDICARE: DR. KAREN LINDA MORELLI D.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	122300000X	Dentist	DN16578	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376758961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN LINDA MORELLI D.M.D.

Provider Business Mailing Address
First Line	:	130 FRANKLIN BEACH PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2470
Country	:	US
Telephone Number	:	813-288-0156
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 W BUSCH BLVD
Second Line	:	SUITE 105
City	:	TAMPA
State	:	FL
Zip	:	33612-7707
Country	:	US
Telephone Number	:	813-931-4000
Fax Number	:	813-935-6532

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	05/21/2008

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