Individual
CHRISTIAN MARCELO MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1414 SE 43RD TER, CAPE CORAL, FL 33904-7361
(239) 537-8779
Mailing address
1414 SE 43RD TER, CAPE CORAL, FL 33904-7361
(239) 537-8779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9318352
FL
363LP2300X
Primary Care Nurse Practitioner
9318352
FL
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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