Individual
MS. JUANITA MORAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM/ARNP
Contact information
Practice address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 654-2273
(813) 654-2273
Mailing address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 654-2273
(813) 654-1384
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN2016172
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
2016172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303415100
—
FL
Enumeration date
06/10/2008
Last updated
07/17/2013
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