MEDICARE: STEPHANIE MORALES

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1427394998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MORALES

Provider Business Mailing Address
First Line	:	1035 S SEMORAN BLVD
Second Line	:	BUILDING 2 SUITE 1013
City	:	WINTER PARK
State	:	FL
Zip	:	32792-5526
Country	:	US
Telephone Number	:	407-399-2055
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 S SEMORAN BLVD
Second Line	:	BUILDING 2 SUITE 1013
City	:	WINTER PARK
State	:	FL
Zip	:	32792-5526
Country	:	US
Telephone Number	:	407-399-2055
Fax Number	:

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

Provider Enumeration Date	:	01/02/2013
Last Update Date	:	04/22/2013

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Directions to “ STEPHANIE MORALES ” Practice Location

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