Healthcare Provider Details

I. General information

NPI: 1265984975
Provider Name (Legal Business Name): MARIA DEL MAR FELIX MORALES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2016
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 E COUNTY ROAD 540A
LAKELAND FL
33813-3740
US

IV. Provider business mailing address

2140 E COUNTY ROAD 540A
LAKELAND FL
33813-3740
US

V. Phone/Fax

Practice location:
  • Phone: 863-284-5000
  • Fax: 863-284-1747
Mailing address:
  • Phone: 863-284-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME158103
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: