Provider Demographics
NPI:1861769945
Name:PARALITICI MORALES, MARIEL (MD)
Entity type:Individual
Prefix:
First Name:MARIEL
Middle Name:
Last Name:PARALITICI MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 SE MONTEREY COMMONS BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3357
Mailing Address - Country:US
Mailing Address - Phone:844-550-7337
Mailing Address - Fax:850-558-3996
Practice Address - Street 1:1002 SE MONTEREY COMMONS BLVD STE 203
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3357
Practice Address - Country:US
Practice Address - Phone:844-550-7337
Practice Address - Fax:850-558-3996
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1196362084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHY705ZMedicare PIN