Provider Demographics
NPI:1205571460
Name:FREI MORERA, EDUARDO (APRN)
Entity type:Individual
Prefix:MR
First Name:EDUARDO
Middle Name:
Last Name:FREI MORERA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 MALLORY CIR STE 202
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-1818
Mailing Address - Country:US
Mailing Address - Phone:407-269-8550
Mailing Address - Fax:407-288-1010
Practice Address - Street 1:2940 MALLORY CIR STE 202
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-1818
Practice Address - Country:US
Practice Address - Phone:407-269-8550
Practice Address - Fax:407-288-1010
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily