Provider Demographics
NPI:1275706459
Name:MORALES, FERMIN ESTEBAN (MD)
Entity Type:Individual
Prefix:DR
First Name:FERMIN
Middle Name:ESTEBAN
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4701 N FEDERAL HWY STE A39
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4608
Mailing Address - Country:US
Mailing Address - Phone:954-351-7770
Mailing Address - Fax:954-351-7181
Practice Address - Street 1:4701 N FEDERAL HWY STE A39
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4608
Practice Address - Country:US
Practice Address - Phone:954-351-7770
Practice Address - Fax:954-351-7181
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD434037208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery