Individual
JUAN CARLOS MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
158 W 10TH ST, HIALEAH, FL 33010-4007
(786) 600-8679
(786) 362-6157
Mailing address
158 W 10TH ST, HIALEAH, FL 33010-4007
(786) 600-8679
(786) 362-6157
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL7679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003908000
—
FL
Enumeration date
04/12/2013
Last updated
04/12/2013
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