Organization
MARIA E MORA MD PA
Active
Other names
Middleburg Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELENA MORA M.D. (PRESIDENT)
(904) 861-1034
Entity
Organization
Contact information
Practice address
91 BRANSCOMB RD STE 3, GREEN COVE SPRINGS, FL 32043-7222
(904) 861-1034
(904) 861-1037
Mailing address
91 BRANSCOMB RD STE 3, GREEN COVE SPRINGS, FL 32043-7222
(904) 861-1034
(904) 861-1037
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
PA9104224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271515500
—
FL
Enumeration date
07/09/2006
Last updated
01/06/2024
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