Provider Demographics
NPI:1417908823
Name:MORAES, BRIAN C (DO)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:C
Last Name:MORAES
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:9325 GLADES RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3988
Mailing Address - Country:US
Mailing Address - Phone:561-883-7770
Mailing Address - Fax:561-883-7779
Practice Address - Street 1:9325 GLADES RD
Practice Address - Street 2:SUITE 107
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3988
Practice Address - Country:US
Practice Address - Phone:561-883-7770
Practice Address - Fax:561-883-7779
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2008-04-22
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Provider Licenses
StateLicense IDTaxonomies
FLOS7601207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9064736001OtherCIGNA
FL2130594OtherAETNA HMO
FL38219OtherNEIGHBORHOOD HEALTH PARTNERSHIP
FL44811OtherBLUE CROSS BLUE SHIELD
FL7911846OtherGHI
FL5501766OtherAETNA NON-HMO
FL258524OtherAVMED
FLG06413OtherPHCS
FLP00062704OtherRAILROAD MEDICARE
FL7911846OtherGHI
FL2130594OtherAETNA HMO