Provider Demographics
NPI:1891938429
Name:ACEVEDO MORALES, DAISY (MD)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:ACEVEDO MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6141 SUNSET DR STE 403
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5026
Mailing Address - Country:US
Mailing Address - Phone:305-665-2300
Mailing Address - Fax:305-669-8966
Practice Address - Street 1:6141 SUNSET DR STE 403
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5026
Practice Address - Country:US
Practice Address - Phone:305-665-2300
Practice Address - Fax:305-669-8966
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 112978207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGF384YOtherMEDICARE
FLU006OOtherBCBS
FL359409OtherAVMED