MEDICARE: DAVID J MORALES RNFA

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	163WR0006X	Registered Nurse First Assistant	RN9222511	FL

General Provider Information

NPI Number	:	1154523876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J MORALES RNFA

Provider Business Mailing Address
First Line	:	3 MARYLAND FARMS STE 200
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5780
Country	:	US
Telephone Number	:	800-348-4565
Fax Number	:	615-345-5405

Provider Business Practice Location Address
First Line	:	2240 W WOOLBRIGHT RD STE 210
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6363
Country	:	US
Telephone Number	:	800-348-4565
Fax Number	:	888-468-6511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	09/13/2018

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