Individual
MORAMED DESROCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PMNP-BC
Contact information
Practice address
980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006, BOCA RATON, FL 33432
(561) 786-5874
(561) 973-1964
Mailing address
980 NORTH FEDERAL HIGHWAY, SUITE 110 #1006, BOCA, FL 33432-2043
(561) 786-5874
(561) 973-1964
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
HSE35829
FL
363A00000X
Physician Assistant
373-PA
PR
363A00000X
Physician Assistant
8885
AZ
363A00000X
Physician Assistant
TPPA183
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11026530
FL
Other
Enumeration date
06/10/2016
Last updated
11/08/2024
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