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NPI Code Detail

MEDICARE: DR. MANOEL MORAES JR. MD

MEDICARE: DR. MANOEL MORAES JR. MD
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
1207RX0202XMedical Oncology Physician0101238947VA
2207RX0202XMedical Oncology PhysicianME105427FL

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 : 1114996170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANOEL MORAES JR. MD
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-9567
Fax Number : 239-343-9571
Provider Business Practice Location Address
First Line : 8925 COLONIAL CENTER DR STE 2001
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7813
Country : US
Telephone Number : 239-343-9567
Fax Number : 239-343-9571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 12/14/2023

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