MEDICARE: MICHELE J. MORAES, MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1023109832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELE J. MORAES, MD PA

Provider Business Mailing Address
First Line	:	9970 CENTRAL PARK BLVD N STE 102
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-2236
Country	:	US
Telephone Number	:	561-883-7770
Fax Number	:	561-883-7779

Provider Business Practice Location Address
First Line	:	9970 CENTRAL PARK BLVD N STE 102
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-2236
Country	:	US
Telephone Number	:	561-883-7779
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELE J MORAES
Credential	:	MD
Telephone Number	:	561-883-7770

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	03/20/2025

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