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General NPI Number Information
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NPI Number | 1720507908
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Entity Type | Individual
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Provider Name | JORGE LUIS MORALES MONTES DE OCA APRN
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Gender | Male
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 3351 EXECUTIVE WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-3935
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Country | US
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Telephone | 855-441-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 3407 SW 24TH ST
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City | MIAMI
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State | FL
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Zip | 33145-3028
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Country | US
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Telephone | 786-583-4393
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11008784
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License Number State | FL
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