Healthcare Provider Details

I. General information

NPI: 1346595402
Provider Name (Legal Business Name): JANINE MORALES M.S. ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7417 KEY LARGO DR
WINTER PARK FL
32792-6929
US

IV. Provider business mailing address

7417 KEY LARGO DR
WINTER PARK FL
32792-6929
US

V. Phone/Fax

Practice location:
  • Phone: 407-780-2428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number2924288
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: