MEDICARE: BRIAN C MORAES DO

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	207R00000X	Internal Medicine Physician	OS7601	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00062704	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9064736001	OTHER	FL	CIGNA
2	2130594	OTHER	FL	AETNA HMO
3	38219	OTHER	FL	NEIGHBORHOOD HEALTH PARTNERSHIP
4	44811	OTHER	FL	BLUE CROSS BLUE SHIELD
5	7911846	OTHER	FL	GHI
6	5501766	OTHER	FL	AETNA NON-HMO
7	258524	OTHER	FL	AVMED
8	G06413	OTHER	FL	PHCS

General Provider Information

NPI Number	:	1417908823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN C MORAES DO

Provider Business Mailing Address
First Line	:	9325 GLADES RD
Second Line	:	SUITE 107
City	:	BOCA RATON
State	:	FL
Zip	:	33434-3988
Country	:	US
Telephone Number	:	561-883-7770
Fax Number	:	561-883-7779

Provider Business Practice Location Address
First Line	:	9325 GLADES RD
Second Line	:	SUITE 107
City	:	BOCA RATON
State	:	FL
Zip	:	33434-3988
Country	:	US
Telephone Number	:	561-883-7770
Fax Number	:	561-883-7779

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	04/22/2008

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Directions to “ BRIAN C MORAES DO” Practice Location

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