Healthcare Provider Details

I. General information

NPI: 1891938429
Provider Name (Legal Business Name): DAISY ACEVEDO MORALES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6141 SUNSET DR STE 403
SOUTH MIAMI FL
33143-5026
US

IV. Provider business mailing address

6141 SUNSET DR STE 403
SOUTH MIAMI FL
33143-5026
US

V. Phone/Fax

Practice location:
  • Phone: 305-665-2300
  • Fax: 305-669-8966
Mailing address:
  • Phone: 305-665-2300
  • Fax: 305-669-8966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME 112978
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: