MEDICARE: MARCELO RODRIGUES MOREIRA MM

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	172P00000X	Naprapath	CRTH11950	FL
2	225700000X	Massage Therapist	MM103086	FL

General Provider Information

NPI Number	:	1881553147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELO RODRIGUES MOREIRA MM

Provider Business Mailing Address
First Line	:	13327 PENSHURST LN
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-6694
Country	:	US
Telephone Number	:	407-923-5710
Fax Number	:

Provider Business Practice Location Address
First Line	:	7635 ASHLEY PARK CT STE F-G
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6195
Country	:	US
Telephone Number	:	407-923-5710
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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