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NPI Code Detail

MEDICARE: MARIA EUGENIA MORAN APRN

MEDICARE: MARIA EUGENIA MORAN APRN
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
1363LF0000XFamily Nurse Practitioner9389386FL
2363L00000XNurse Practitioner9389386FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114408135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA EUGENIA MORAN APRN
Provider Business Mailing Address
First Line : 5441 N UNIVERSITY DR STE 101
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-4640
Country : US
Telephone Number : 954-803-9002
Fax Number : 954-933-2305
Provider Business Practice Location Address
First Line : 1414 SE 3RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-1910
Country : US
Telephone Number : 954-803-9002
Fax Number : 954-933-2305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2018
Last Update Date : 07/09/2024

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Directions to “ MARIA EUGENIA MORAN APRN” Practice Location

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