Provider Demographics
NPI:1023327418
Name:MORAITIS, ANDREAS G (MD)
Entity type:Individual
Prefix:
First Name:ANDREAS
Middle Name:G
Last Name:MORAITIS
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 1:18101 COLLINS AVE
Mailing Address - Street 2:PH104
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3130
Mailing Address - Country:US
Mailing Address - Phone:347-754-1993
Mailing Address - Fax:
Practice Address - Street 1:18101 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3130
Practice Address - Country:US
Practice Address - Phone:347-754-1993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124459207RE0101X
MI4301101816207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine