Individual
DR. FERNANDO IVAN MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6755 GALL BLVD, ZEPHYRHILLS, FL 33542-2522
(813) 782-4439
(813) 782-4317
Mailing address
6755 GALL BLVD, ZEPHYRHILLS, FL 33542-2522
(813) 782-4439
(813) 782-4317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 44937
FL
208D00000X
General Practice Physician
ME0044937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043679800
—
FL
Enumeration date
09/26/2005
Last updated
02/05/2016
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