Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME75276 | FL |
NPI | 1023029477 |
---|---|
Provider Name | Michele J. Moraes |
First Address | Boca Raton, FL 33434-3988 |
Second Address | Boca Raton, FL 33434-3988 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 13/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0385357 | UNITED HEALTHCARE (01) | FL |
070015557 | RAILROAD MEDICARE (01) | FL |
248180 | AVMED (01) | FL |
29435 | NEIGHBORHOOD HEALTH PARTNERSHIP (01) | FL |
3653936001 | CIGNA (01) | FL |
42933 | BLUE CROSS BLUE SHIELD (01) | FL |
5401815 | CCN (01) | FL |
5828675 | AETNA (01) | FL |
6016198 | GHI (01) | FL |
G71682 | (02) | FL |