Individual
GABRIEL ANTONIO MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 W 49TH PL STE 305, HIALEAH, FL 33012-3147
(305) 557-3600
Mailing address
5240 SW 94TH AVE, COOPER CITY, FL 33328-4118
(305) 709-7839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11026061
FL
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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