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NPI Code Detail

MEDICARE: ROSARIO MORAN

MEDICARE: ROSARIO MORAN
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1821949553
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSARIO MORAN
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4695 MACARTHUR CT STE 1100
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-1866
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ ROSARIO MORAN ” Practice Location

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