Healthcare Provider Details

I. General information

NPI: 1013848001
Provider Name (Legal Business Name): ADRIAN DOMINIC MORANO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 US HIGHWAY 1
VERO BEACH FL
32967-7601
US

IV. Provider business mailing address

5275 US HIGHWAY 1
VERO BEACH FL
32967-7601
US

V. Phone/Fax

Practice location:
  • Phone: 772-362-1451
  • Fax:
Mailing address:
  • Phone: 772-362-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN31655
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: