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Individual

DR. ERNESTO ALBERTO EUSEBIO MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23421 WALDEN CENTER DR STE 100, ESTERO, FL 34134-4911
(239) 788-6500
(239) 776-2720
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0762
(239) 343-0958

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
04-36985
KS
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301085516
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME131908
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003719300
MEDICARE
05
020710300
FL
01
200528430A
OK MEDICAID
OK
05
201090580A
KS
Enumeration date
06/07/2007
Last updated
09/09/2024
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