Provider Demographics
NPI:1568231090
Name:BRUNELY MORALES, MAIKEL (APRN-FNP)
Entity Type:Individual
Prefix:MR
First Name:MAIKEL
Middle Name:
Last Name:BRUNELY MORALES
Suffix:
Gender:M
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 SW 131ST PLACE CIR N
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2009
Mailing Address - Country:US
Mailing Address - Phone:786-234-6441
Mailing Address - Fax:
Practice Address - Street 1:1150 SW 131ST PLACE CIR N
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2009
Practice Address - Country:US
Practice Address - Phone:786-234-6441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030241363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily