Provider Demographics
NPI:1619083359
Name:MORALES-MURRAY, MARIELY (MD)
Entity type:Individual
Prefix:DR
First Name:MARIELY
Middle Name:
Last Name:MORALES-MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIELY
Other - Middle Name:
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:515 N PARK AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-3634
Mailing Address - Country:US
Mailing Address - Phone:407-814-4934
Mailing Address - Fax:407-814-4936
Practice Address - Street 1:515 N PARK AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-3634
Practice Address - Country:US
Practice Address - Phone:407-814-4934
Practice Address - Fax:407-814-4936
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86243208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266172100Medicaid