Thomas H Moraczewski MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0042030 Issued in FL

Legal business name

THOMAS H MORACZEWSKI MD

Practice address

1042 Mar Walt Dr
Fort Walton Beach, FL 32547

Phone

(850) 862-5618

Fax

(850) 864-3597

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Shannon Reynolds

Title

Insurance

Phone

(850) 862-5618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1992965065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-862-5618",
            "fax_number": "850-864-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-862-5618",
            "fax_number": "850-864-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H MORACZEWSKI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "850-862-5618"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0042030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Village ABA, LLC
• Theodore I Macey MD PA
• Therapy Tree to Life LLC
• Vanessa Cloutier Thibodeaux, MD
• Thomas C. Church M.D., PA
• Thomas J. Manski, M.D., P.a.
• Brian Timothy Thomas
• Clarissa Thomas
• Thomasville Emergency Physicians LLC
• Miranda Nicole Thompson

• Specialist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.