Organization
SANTIAGO MORALES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO MORALES MD PA (PRESIDENT)
(727) 791-7822
Entity
Organization
Contact information
Practice address
1840 MEASE DR, SUITE 408, SAFETY HARBOR, FL 34695-6602
(727) 791-7822
(727) 725-8524
Mailing address
1840 MEASE DR, SUITE 408, SAFETY HARBOR, FL 34695-6602
(727) 791-7822
(727) 725-8524
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME64207
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00023678
CMS NUMBER
—
05
—
377580100
—
FL
01
—
ME64207
FLORIDA STATE LICENSE
FL
Enumeration date
07/03/2008
Last updated
02/22/2012
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