Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | RBT20129013 | FL |
NPI | 1548876345 |
---|---|
Provider Name | Orlando Equiza Morales |
First Address | Hialeah, FL 33015-7420 |
Second Address | Hialeah, FL 33015-7420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2020 |
Last Update Date | 17/09/2020 |