MEDICARE: MS. CARLINE MOREY APRN

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	363LA2100X	Acute Care Nurse Practitioner	APRN11019708	FL

General Provider Information

NPI Number	:	1467191817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARLINE MOREY APRN

Provider Business Mailing Address
First Line	:	7977 PARSONS PINE DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-7527
Country	:	US
Telephone Number	:	954-839-0560
Fax Number	:

Provider Business Practice Location Address
First Line	:	7977 PARSONS PINE DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-7527
Country	:	US
Telephone Number	:	954-839-0560
Fax Number	:

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

Provider Enumeration Date	:	06/02/2022
Last Update Date	:	06/02/2022

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