Healthcare Provider Details

I. General information

NPI: 1861769945
Provider Name (Legal Business Name): MARIEL PARALITICI MORALES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2011
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 SE MONTEREY COMMONS BLVD STE 203
STUART FL
34996-3357
US

IV. Provider business mailing address

1002 SE MONTEREY COMMONS BLVD STE 203
STUART FL
34996-3357
US

V. Phone/Fax

Practice location:
  • Phone: 844-550-7337
  • Fax: 850-558-3996
Mailing address:
  • Phone: 844-550-7337
  • Fax: 850-558-3996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME119636
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: