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NPI Code Detail

MEDICARE: LAURA T MORITZ ARNP

MEDICARE: LAURA T MORITZ ARNP
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
1363L00000XNurse PractitionerARNP3364992FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2NL089OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y7725OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861434300
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA T MORITZ ARNP
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number : 239-599-2612
Provider Business Practice Location Address
First Line : 7751 BYAMEADOWS RD E
Second Line : SUITE H
City : JACKSONVILLE
State : FL
Zip : 32256-5836
Country : US
Telephone Number : 904-425-6963
Fax Number : 904-674-0155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 04/08/2021

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Directions to “ LAURA T MORITZ ARNP” Practice Location

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