Provider Demographics
NPI:1336362706
Name:MESGHALI MORALES, SHEEBA F (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEEBA
Middle Name:F
Last Name:MESGHALI MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHEEBA
Other - Middle Name:F
Other - Last Name:MESGHALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:
Practice Address - Street 1:1370 E VENICE AVE STE 202
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-9084
Practice Address - Country:US
Practice Address - Phone:941-480-0500
Practice Address - Fax:941-480-9322
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99732207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00649414OtherMEDICARE RAILROAD
FL07648OtherBCBS
FLAI293ZMedicare PIN