Most Relevant Information
Provider Data
| NPI Number: | 1003238684 |
| Provider Name: | MATT MORAES AA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | AA212 |
Most Important Dates
| Enumeration Date: | 01/15/2014 |
| Last Updated: | 11/02/2018 |
Provider Practice Location
410 S 11TH ST
LAKE WALES
FL
338534203
Practice Location Phone/Fax
| Phone: | 8636796814 |
| Fax: | 8636796859 |
Provider Mailing Location
6750 NW 45TH WAY
COCONUT CREEK
FL
330731927
Provider Mailing Phone/Fax
| Phone: | 3054093221 |
| Fax: |