Healthcare Provider Details

I. General information

NPI: 1497681969
Provider Name (Legal Business Name): MAYA AYMAN MORAD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 COLLINS AVE STE C3
MIAMI BEACH FL
33140-4723
US

IV. Provider business mailing address

7300 SW 163RD AVE
MIAMI FL
33193-5151
US

V. Phone/Fax

Practice location:
  • Phone: 786-506-1993
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31729
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: