Luis E Morales Mdpa Family Practice

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

FLME44936 Issued in FL

Legal business name

LUIS E MORALES MDPA FAMILY PRACTICE

Practice address

809 Douglas Ave
Altamonte Springs, FL 32714-2008

Phone

(407) 682-7272

Fax

(407) 682-7274

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Levar J Tomar

Title

Office Manager

Phone

(407) 682-7272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1730363896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 DOUGLAS AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142008",
            "telephone_number": "407-682-7272",
            "fax_number": "407-682-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 DOUGLAS AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142008",
            "telephone_number": "407-682-7272",
            "fax_number": "407-682-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS E MORALES MDPA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "TOMAR",
        "authorized_official_first_name": "LEVAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-682-7272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "FLME44936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.