Individual
ANGEL D MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
12420 SW 192ND TER, MIAMI, FL 33177-3800
(786) 389-0801
(786) 429-1701
Mailing address
12420 SW 192ND TER, MIAMI, FL 33177-3800
(786) 389-0801
(786) 429-1701
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
CRT 69470
FL
Other
Enumeration date
06/08/2011
Last updated
02/09/2012
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