Provider Demographics
NPI:1114544657
Name:MORALES, MELINDA D (DOULA)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:D
Last Name:MORALES
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4281
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-4281
Mailing Address - Country:US
Mailing Address - Phone:813-820-1660
Mailing Address - Fax:
Practice Address - Street 1:517 SOMERSTONE DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-7628
Practice Address - Country:US
Practice Address - Phone:813-820-1660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker