Provider Demographics
NPI:1649223512
Name:MORVELI, DANTE (MD)
Entity Type:Individual
Prefix:
First Name:DANTE
Middle Name:
Last Name:MORVELI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8172 VIA VITTORIA WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5429
Mailing Address - Country:US
Mailing Address - Phone:307-214-5452
Mailing Address - Fax:
Practice Address - Street 1:700 W OAK ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4924
Practice Address - Country:US
Practice Address - Phone:407-846-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6882A207L00000X
FLME128420207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY312242OtherBLUE CROSS BLUE SHIELD
WY118616700Medicaid
WY312242OtherBLUE CROSS BLUE SHIELD
WYW9755Medicare ID - Type Unspecified
WYP00060748Medicare ID - Type UnspecifiedRAILROAD MEDICARE