Moraga, Juanita

Moraga, Juanita is an sole proprietor health care provider with primary practice located at 505 Oakfield Dr , Brandon FL 33511-5700. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Moraga, Juanita can be contacted via phone (813) 654-2273.

Contact Information

Primary practice address
505 Oakfield Dr Brandon FL 33511-5700
Phone: (813) 654-2273
Fax: (813) 654-2273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X RN2016172 Florida
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 2016172 Florida

Profile Details

NPI number 1750541140
LBN Legal business name Moraga, Juanita
Credentials CNM/ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2008
Last updated Jul 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750541140 NPPES
Florida MEDICAID 303415100

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