Healthcare Provider Details

I. General information

NPI: 1689580136
Provider Name (Legal Business Name): JULIANA HELEN MORCOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9975 TAVISTOCK LAKES BLVD
ORLANDO FL
32827-7664
US

IV. Provider business mailing address

9608 SARAMAGO ALY
ORLANDO FL
32827-5022
US

V. Phone/Fax

Practice location:
  • Phone: 407-266-1126
  • Fax:
Mailing address:
  • Phone: 860-672-8464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: