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Organization
MORA PROFESSIONAL SERVICES INC
Active
Organization
MORA PROFESSIONAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK G MORA PA-C (PRESIDENT)
(239) 292-9314
Entity
Organization
Contact information
Practice address
12451 MCGREGOR PALMS DR, FORT MYERS, FL 33908-3055
(239) 292-9314
Mailing address
12451 MCGREGOR PALMS DR, FORT MYERS, FL 33908-3055
(239) 292-9314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100684
FL
Other
Enumeration date
11/14/2011
Last updated
06/04/2012
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