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NPI Code Detail

MEDICARE: BRIAN C MORAES DO

MEDICARE:   BRIAN C MORAES  DO
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
1207R00000XInternal Medicine PhysicianOS7601FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
9P00062704OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19064736001OTHERFLCIGNA
22130594OTHERFLAETNA HMO
338219OTHERFLNEIGHBORHOOD HEALTH PARTNERSHIP
444811OTHERFLBLUE CROSS BLUE SHIELD
57911846OTHERFLGHI
65501766OTHERFLAETNA NON-HMO
7258524OTHERFLAVMED
8G06413OTHERFLPHCS

General Provider Information

NPI Number : 1417908823
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN C MORAES DO
Provider Business Mailing Address
First Line : 9325 GLADES RD
Second Line : SUITE 107
City : BOCA RATON
State : FL
Zip : 33434-3988
Country : US
Telephone Number : 561-883-7770
Fax Number : 561-883-7779
Provider Business Practice Location Address
First Line : 9325 GLADES RD
Second Line : SUITE 107
City : BOCA RATON
State : FL
Zip : 33434-3988
Country : US
Telephone Number : 561-883-7770
Fax Number : 561-883-7779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 04/22/2008

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