Morales, Fernando Ivan

Morales, Fernando Ivan is an individual health care provider with primary practice located at 6755 Gall Blvd , Zephyrhills FL 33542-2522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Morales, Fernando Ivan can be contacted via phone (813) 782-4439.

Contact Information

Primary practice address
6755 Gall Blvd Zephyrhills FL 33542-2522
Fax: (813) 782-4317
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0044937 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 44937 Florida

Profile Details

NPI number 1225024144
LBN Legal business name Morales, Fernando Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Feb 5th, 2016 - about 9 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 1225024144 NPPES
Florida MEDICAID 043679800

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