Provider Demographics
NPI:1073678090
Name:MOREH AND ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:MOREH AND ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISMAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-836-5627
Mailing Address - Street 1:9737 NW 41ST ST
Mailing Address - Street 2:#386
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2924
Mailing Address - Country:US
Mailing Address - Phone:305-836-5627
Mailing Address - Fax:305-835-4453
Practice Address - Street 1:777 E 25TH ST
Practice Address - Street 2:SUITE 311
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3825
Practice Address - Country:US
Practice Address - Phone:305-836-5627
Practice Address - Fax:305-835-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty