Isidoros James Moraitis, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME86072 Issued in FL

Practice address

3890 Tampa Rd
Suite 406
Palm Harbor, FL 34684-3676

Phone

(727) 773-9796

Fax

(727) 773-9429

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1750369948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 TAMPA RD",
            "address_2": "SUITE 406",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843676",
            "telephone_number": "727-773-9796",
            "fax_number": "727-773-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 TAMPA RD",
            "address_2": "SUITE 406",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843676",
            "telephone_number": "727-773-9796",
            "fax_number": "727-773-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAITIS",
        "first_name": "ISIDOROS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME86072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265583700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alysha Nicole Monduori, DPT
• Phyllis Ambrose Montali, M.A., CCC-SLP
• Michael Fernando Monzon
• Devin Moore
• Will David Moore, DDS
• Rebecca Angela Morales de Castillo, R.N.
• Santiago Morales Jr., MD
• Kayleigh Jeannine Moreland
• Eric Polo Moreno, PA-C
• Melodie Lee Moreno, ERYT-500

• Plastic Surgery Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.