MEDICARE: DR. EVA RAPOSO MORALES

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	1223G0001X	General Practice Dentistry	DN25245	FL
2	390200000X	Student in an Organized Health Care Education/Training Program	12335	CT

General Provider Information

NPI Number	:	1396221057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVA RAPOSO MORALES

Provider Business Mailing Address
First Line	:	710 N LEMON AVE UNIT 458
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-4283
Country	:	US
Telephone Number	:	860-515-1481
Fax Number	:

Provider Business Practice Location Address
First Line	:	3466 CLARK RD STE 410
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-8406
Country	:	US
Telephone Number	:	813-797-5907
Fax Number	:

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

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	04/20/2026

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