MORAMED DESROCHES MD PMNP-BC NPI 1487003422

NPI Information

  • NPI: 1487003422
  • Provider Name: MORAMED DESROCHES, MD, PMNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 980 NORTH FEDERAL HIGHWAY
    SUITE 110 #1006
    BOCA RATON, FL
    ZIP 33432
  • Phone: (561) 786-5874

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NPI Details

Moramed Desroches, MD, PMNP-BC is a psychiatric/mental health nurse practitioner in Boca Raton, FL. Moramed Desroches, MD, PMNP-BC NPI is 1487003422. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

980 NORTH FEDERAL HIGHWAY
SUITE 110 #1006
BOCA RATON, FL
ZIP 33432
Phone: (561) 786-5874
Fax: (561) 973-1964

The NPI 1487003422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2016 and was last updated on 11/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantTPPA183FLORIDANo
2363A00000XPhysician Assistant8885ARIZONANo
3208D00000XGeneral PracticeHSE35829FLORIDANo
4363A00000XPhysician Assistant373-PAPUERTO RICONo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11026530FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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