Provider Demographics
NPI:1023128865
Name:MORALES, PEDRO JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:JOSE
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1839 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8900
Mailing Address - Country:US
Mailing Address - Phone:727-322-1054
Mailing Address - Fax:727-821-7213
Practice Address - Street 1:5500 DR MLK JR ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-1204
Practice Address - Country:US
Practice Address - Phone:727-525-5500
Practice Address - Fax:727-522-2574
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-03-20
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Provider Licenses
StateLicense IDTaxonomies
FLME41704207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068901700Medicaid
D86162Medicare UPIN