GARY E MORALES GERALDINO (NPI# 1083998090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083998090 |
| Entity Type | Individual |
| Full Name | GARY E MORALES GERALDINO |
| Credential | M. D. |
| Practice Address |
2700 N Peninsula Ave Apt 516 New Smyrna Beach FL 32169-2074 |
| Practice Telephone | 7875436292 |
| Mailing Telephone | 7875436292 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2014-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 28653-R | PR | Allopathic & Osteopathic Physicians |
| Street Address |
2700 N PENINSULA AVE APT 516 |
| City | NEW SMYRNA BEACH |
| State | FL |
| Zip Code | 32169-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730604687 | Kristopher Allen Kessler | Chiropractor | 701 E 3rd Ave Unit 5, New Smyrna Beach, FL 32169 | 2017-08-11 |
| 1326420449 | Hugh Jacob Flanagan | Pharmacist | 709 E. 3rd Ave., New Smyrna Beach, FL 32169 | 2015-06-25 |
| 1518371996 | Shoreside Medical Center LLC | General Practice | 419 East Third Ave, New Smyrna Beach, FL 32169 | 2014-06-13 |
| 1447692272 | Donald B Walsh | Massage Therapist | 259 N Causeway, New Smyrna, FL 32169 | 2013-07-22 |
| 1841572047 | John A Stamm Jr. | Pharmacist | 800 Hwy A1a, New Smyrna Beach, FL 32169 | 2011-09-13 |
| 1578845764 | Benjamin Hanna | Pharmacist | 800 State Hwy A1a, New Smyrna Beach, FL 32169 | 2011-09-13 |
| 1669794681 | Health Point Pllc | Acupuncturist | 394-b North Causeway, New Smyrna Beach, FL 32169 | 2010-02-17 |
| 1831388917 | Evan D Magee | Specialist | 221 Robinson Rd, New Smyrna Bch, FL 32169 | 2007-10-15 |
| 1538376629 | Cathy Elizabeth Harris | Acupuncturist | 221 North Causeway, Suite C, New Smyrna Beach, FL 32169 | 2007-05-17 |
| 1770700106 | Andrea J Robins | Mechanotherapist | 101 Cedar Dunes Drive, New Smyrna Beach, FL 32169 | 2007-04-19 |
| Find all providers in zip 32169 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518371996 | Shoreside Medical Center LLC | General Practice | 419 East Third Ave, New Smyrna Beach, FL 32169 | 2014-06-13 |
| 1023207016 | James R Meredith | General Practice | 502 Palmetto St, New Smyrna Beach, FL 32168-7325 | 2007-10-16 |
| 1568451318 | James Wes Tanner | General Practice | 1722 State Road 44, New Smyrna Beach, FL 32168-8339 | 2005-10-14 |
| 1962844381 | Mhc Holdings Inc. | General Practice | 902 N Dixie Fwy, New Smyrna Beach, FL 32168-6220 | 2013-07-26 |
| 1770747990 | Medical Holistic Center, LLC | General Practice | 512 Canal St, New Smyrna Beach, FL 32168-7012 | 2008-07-16 |
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| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | NEW SMYRNA BEACH |
| Zip Code | 32169 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.