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NPI Code Detail

MEDICARE: CARIDAD KETTY MORAN

MEDICARE: CARIDAD KETTY MORAN
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
1372600000XAdult CompanionCNA89024FL
2376J00000XHomemakerCNA89024FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1002883700OTHERFLMCD

General Provider Information

NPI Number : 1326343278
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARIDAD KETTY MORAN
Provider Business Mailing Address
First Line : 6415 SAWYER RD
Second Line :
City : TAMPA
State : FL
Zip : 33634
Country : UM
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6415 SAWYER RD
Second Line :
City : TAMPA
State : FL
Zip : 33634
Country : UM
Telephone Number : 813-446-4495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 01/24/2011

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Directions to “ CARIDAD KETTY MORAN ” Practice Location

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