NPI 1003238684

Matt Moraes, AA

Practitioner Anesthesiologist Assistant Lake Wales, FL

Practice location

Address: 410 S 11th St, Lake Wales, FL 33853-4203
Phone: (863) 679-6814
Fax: (863) 679-6859
Mailing address: 6750 NW 45th Way, Coconut Creek, FL 33073-1927

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA212 (FL)

Other Anesthesiologist Assistant providers in Florida →

Registry record

NPI: 1003238684
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2014
Record last updated: 2 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.