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NPI Code Detail

MEDICARE: MS. DANIELA JESENIA MORALES APRN

MEDICARE: MS. DANIELA JESENIA MORALES APRN
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
1363LN0000XNeonatal Nurse Practitioner104420030FL

General Provider Information

NPI Number : 1720812522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELA JESENIA MORALES APRN
Provider Business Mailing Address
First Line : 9601 SW 142ND AVE APT 407
Second Line :
City : MIAMI
State : FL
Zip : 33186-6863
Country : US
Telephone Number : 786-398-2942
Fax Number :
Provider Business Practice Location Address
First Line : 1005 JOE DIMAGGIO DR
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5402
Country : US
Telephone Number : 954-265-5324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2024
Last Update Date : 08/26/2024

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