Healthcare Provider Details

I. General information

NPI: 1881095198
Provider Name (Legal Business Name): JOAN J MORALES LAPPOT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2014
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 HOLLYWOOD BLVD STE 202
HOLLYWOOD FL
33021-6700
US

IV. Provider business mailing address

6850 LAKE NONA BLVD
ORLANDO FL
32827-7408
US

V. Phone/Fax

Practice location:
  • Phone: 954-989-9553
  • Fax:
Mailing address:
  • Phone: 407-266-1199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME144189
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4962477
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: