Morales, Santiago
Morales, Santiago is an sole proprietor health care provider with primary practice located at 34650 Us Highway 19 N Ste 104 , Palm Harbor FL 34684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Morales, Santiago can be contacted via phone (727) 233-4895.Contact Information
Primary practice address
34650 Us Highway 19 N Ste 104
Palm Harbor FL 34684
Phone: (727) 233-4895
Fax: (727) 400-4712
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME64207 | Florida |
Profile Details
NPI number | 1336136696 |
---|---|
LBN Legal business name | Morales, Santiago |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2005 |
Last updated | Mar 3rd, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336136696 | NPPES |
Florida | Other | 1487907 | WELLCARE |
Florida | Other | P300829 | WELLCARE |
Florida | Other | 1008050 | WELLCARE |
Florida | Other | P200489 | WELLCARE |
Florida | MEDICAID | 023403000 | WELLCARE |
Florida | Other | P01828223 | WELLCARE |
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