MEDICARE: ORLANDO EQUIZA 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	111NN0400X	Neurology Chiropractor	RBT20129013	FL

General Provider Information

NPI Number	:	1548876345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO EQUIZA MORALES

Provider Business Mailing Address
First Line	:	6816 NW 179TH ST APT 102
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-7420
Country	:	US
Telephone Number	:	786-318-6809
Fax Number	:

Provider Business Practice Location Address
First Line	:	6816 NW 179TH ST APT 102
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-7420
Country	:	US
Telephone Number	:	786-318-6809
Fax Number	:

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

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	09/17/2020

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Directions to “ ORLANDO EQUIZA MORALES ” Practice Location

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