# SANTIAGO MORALES MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891958484
- **Authorized official:** DR. SANTIAGO MORALES MD PA (PRESIDENT)
- **Authorized official phone:** (727) 791-7822

## Contact information

- **Practice address:** 1840 MEASE DR, SUITE 408, SAFETY HARBOR, FL 34695-6602
- **Practice address phone:** (727) 791-7822
- **Practice address fax:** (727) 725-8524
- **Mailing address:** 1840 MEASE DR, SUITE 408, SAFETY HARBOR, FL 34695-6602
- **Mailing address phone:** (727) 791-7822
- **Mailing address fax:** (727) 725-8524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME64207 | FL | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 02/22/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00023678 | CMS NUMBER | — |
| 05 | — | 377580100 | — | FL |
| 01 | — | ME64207 | FLORIDA STATE LICENSE | FL |