Individual
BYRON MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME116766
FL
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
ME116766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014926900
—
FL
01
—
150N9
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/19/2011
Last updated
03/31/2021
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