Individual
MR. MATT MORAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 679-6814
(863) 679-6859
Mailing address
6750 NW 45TH WAY, COCONUT CREEK, FL 33073-1927
(305) 409-3221
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA212
FL
Other
Enumeration date
01/15/2014
Last updated
11/02/2018
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