Provider Demographics
NPI:1932164571
Name:MORALES, ORLANDO M (MD)
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:M
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:C/0 ANESCO NORTH BROWARD LLC
Mailing Address - Street 2:3601 W COMMERCIAL BLVD STE 45
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309
Mailing Address - Country:US
Mailing Address - Phone:954-485-5666
Mailing Address - Fax:954-484-1651
Practice Address - Street 1:C/O WESTON REGIONAL HEALTH PARK
Practice Address - Street 2:2300 NORTH COMMERCE PARKWAY
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326
Practice Address - Country:US
Practice Address - Phone:954-217-3100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME70956207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43502ZMedicare ID - Type Unspecified
FLG38307Medicare UPIN