MEDICARE: DR. ANGEL D MORROBEL 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	207RC0000X	Cardiovascular Disease Physician	ME70304	FL

General Provider Information

NPI Number	:	1790730679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGEL D MORROBEL MD

Provider Business Mailing Address
First Line	:	129 E REDSTONE AVE
Second Line	:	STE A
City	:	CRESTVIEW
State	:	FL
Zip	:	32539-5350
Country	:	US
Telephone Number	:	850-279-3247
Fax Number	:	850-279-4615

Provider Business Practice Location Address
First Line	:	4566 E HIGHWAY 20 STE 102
Second Line	:
City	:	NICEVILLE
State	:	FL
Zip	:	32578-8839
Country	:	US
Telephone Number	:	850-279-3247
Fax Number	:	850-279-4615

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	03/12/2026

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