Individual
MARGIE A MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15901 BASS RD, SUITE 108, FORT MYERS, FL 33908-3838
(239) 343-6050
(239) 343-6051
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-6051
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME51721
FL
2084N0400X
Neurology Physician
Primary
ME0051721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374854500
—
FL
Enumeration date
10/18/2005
Last updated
03/30/2021
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