Provider Demographics
NPI:1023109832
Name:MICHELE J. MORAES, MD PA
Entity type:Organization
Organization Name:MICHELE J. MORAES, MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORAES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-883-7770
Mailing Address - Street 1:9970 CENTRAL PARK BLVD N STE 102
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-2236
Mailing Address - Country:US
Mailing Address - Phone:561-883-7770
Mailing Address - Fax:561-883-7779
Practice Address - Street 1:9970 CENTRAL PARK BLVD N STE 102
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-2236
Practice Address - Country:US
Practice Address - Phone:561-883-7779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHELE J. MORAES, MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-27
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty