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1740281658

NPI Code Detail

MEDICARE: ELIZABETH A MORAN MD

MEDICARE: ELIZABETH A MORAN MD

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	207XP3100X	Pediatric Orthopaedic Surgery Physician	ME95734	FL
2	208000000X	Pediatrics Physician	ME95734	FL
3	207X00000X	Orthopaedic Surgery Physician	ME95734	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740281658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH A MORAN MD

Provider Business Mailing Address
First Line	:	PO BOX 191
Second Line	:	PROVIDER ENROLLMENT DEPT
City	:	ROCKLAND
State	:	DE
Zip	:	19732-0191
Country	:	US
Telephone Number	:	302-651-6212
Fax Number	:	302-651-4945

Provider Business Practice Location Address
First Line	:	807 CHILDRENS WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8426
Country	:	US
Telephone Number	:	904-390-3600
Fax Number	:	904-390-3477

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	10/07/2011

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Directions to “ ELIZABETH A MORAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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