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NPI Code Detail

MEDICARE: FERNANDO MORAFLORES M.D.

MEDICARE: FERNANDO MORAFLORES 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
1208000000XPediatrics PhysicianME77017FL

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 : 1871562249
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERNANDO MORAFLORES M.D.
Provider Business Mailing Address
First Line : 1205 S WOODLAND BLVD
Second Line : STE 3
City : DELAND
State : FL
Zip : 32720-7464
Country : US
Telephone Number : 386-202-6025
Fax Number :
Provider Business Practice Location Address
First Line : 5730 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-4366
Country : US
Telephone Number : 407-322-8645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 12/19/2019

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