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General NPI Number Information
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NPI Number | 1376971556
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Entity Type | Individual
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Provider Name | SERGIO MORELLO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 7800 W OAKLAND DRIVE UNIT 205
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City | SUNRISE
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State | FL
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Zip | 33351-6741
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Country | US
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Telephone | 954-859-2020
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Fax | 954-736-4344
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Provider Business Mailing Address
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Address Line | 7800 W OAKLAND DRIVE UNIT 205
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City | SUNRISE
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State | FL
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Zip | 33351-6741
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Country | US
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Telephone | 954-859-2020
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Fax | 954-736-4344
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 73461
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME121631
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License Number State | FL
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