Individual
RICARDO E MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
600 N CATTLEMEN RD, SUITE 220, SARASOTA, FL 34232
(941) 371-6565
(941) 377-7731
Mailing address
600 N CATTLEMEN RD, SUITE 220, SARASOTA, FL 34232-6410
(941) 371-6565
(941) 377-7731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290301600
—
FL
01
—
970019177
MEDICARE RR
FL
01
—
Y01PW
BCBS OF FLORIDA
FL
Enumeration date
09/21/2005
Last updated
08/17/2018
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