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NPI Code Detail

MEDICARE: ROSEANNE L MORALES BS

MEDICARE:   ROSEANNE L MORALES  BS
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
1104100000XSocial Worker

Other Identifiers

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

General Provider Information

NPI Number : 1417964909
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEANNE L MORALES BS
Provider Business Mailing Address
First Line : 3270 SUNTREE BLVD.
Second Line : SUITE 100
City : MELBOURNE
State : FL
Zip : 32903
Country : US
Telephone Number : 321-752-3170
Fax Number : 321-752-3179
Provider Business Practice Location Address
First Line : 3270 SUNTREE BLVD
Second Line : SUITE 100
City : MELBOURNE
State : FL
Zip : 32940-7530
Country : US
Telephone Number : 321-752-3170
Fax Number : 321-752-3179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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Directions to “ ROSEANNE L MORALES BS” Practice Location

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