Individual provider Active NPI

Wyned W Morales Morales, M.D.

  • General Practice Physician
  • Davenport, FL
National Provider Identifier
1457582520
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN930 Issued in FL
Practice address
101 Divine Dr Ste 1
Davenport, FL 33897-9571
Phone
(863) 256-3225
Fax
(844) 388-6186
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17696 PR
General Practice Physician 208D00000X ACN930 FL Primary

Addresses

Primary practice location

101 Divine Dr Ste 1
Davenport, FL 33897-9571

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181231001612 FL Practitioner - General Practice 0941499917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

101 Divine Dr
Suite 1
Davenport, FL 33897-9571
Phone (863) 256-3225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN930FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caremax Medical Centers of Central Florida, LLC Current Accepting new patients
Caremax Medical Centers of Central Florida LLC CurrentSince Jan 29, 2022 Accepting new patients
Florida Medical Associates LLC CurrentSince Aug 26, 2024 Accepting new patients
Caremax Medical Centers of Central Florida, LLC CurrentSince Jan 29, 2022 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients

Locations

701 E State Road 50
Ste 731C
Clermont, FL 34711
Phone (321) 235-6230

101 Divine Dr
Ste 1
Davenport, FL 33897
Phone (352) 243-2724

2710 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (321) 235-6230

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

1000 NW 57th Ct
Ste 400
Miami, FL 33126

5564 E Grant St
Orlando, FL 32822
Phone (321) 235-6230

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: wyned.morales@sl.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1457582520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DIVINE DR STE 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979571",
            "telephone_number": "863-256-3225",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES MORALES",
        "first_name": "WYNED",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17696",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.