Healthcare Provider Details

I. General information

NPI: 1033678263
Provider Name (Legal Business Name): LILIANA J FRANCO MOREIRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 08/29/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 LAKE NONA BLVD
ORLANDO FL
32827
US

IV. Provider business mailing address

6850 LAKE NONA BLVD
ORLANDO FL
32827
US

V. Phone/Fax

Practice location:
  • Phone: 407-266-1106
  • Fax: 407-518-3923
Mailing address:
  • Phone: 407-266-1106
  • Fax: 407-518-3923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME155007
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: