# MOYA-PRIDA MD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOYA-PRIDA MD
- **Other names:** Moya Medical of Fort Myers
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609739721
- **Legal business name:** MOYA-PRIDA MD
- **Authorized official:** JAYNIER MOYA MD (PRESIDENT)
- **Authorized official phone:** (954) 239-7486

## Contact information

- **Practice address:** 15200 S TAMIAMI TRL STE 116, FORT MYERS, FL 33908-4235
- **Practice address phone:** (954) 239-7486
- **Practice address fax:** (954) 376-7289
- **Mailing address:** 1460 S PALM AVE, PEMBROKE PINES, FL 33025-5520
- **Mailing address phone:** (954) 239-7486
- **Mailing address fax:** (954) 376-7289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/05/2025
- **Last updated:** 12/05/2025