Organization
ISIDOROS J MORAITIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISIDOROS MORAITIS MD (OWNER)
(727) 773-9796
Entity
Organization
Contact information
Practice address
3890 TAMPA RD, SUITE 406, PALM HARBOR, FL 34684-3676
(727) 773-9796
Mailing address
3890 TAMPA RD, SUITE 406, PALM HARBOR, FL 34684-3676
(727) 773-9796
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME86072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265583700
—
FL
Enumeration date
09/09/2010
Last updated
09/09/2010
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