Organization
NOEL MORA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL J. MORA M.D. (PRESIDENT)
(954) 437-0345
Entity
Organization
Contact information
Practice address
13782 NW 23RD ST, PEMBROKE PINES, FL 33028-2621
(954) 437-0345
Mailing address
13782 NW 23RD ST, PEMBROKE PINES, FL 33028-2621
(954) 437-0345
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME71747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261099000
—
FL
Enumeration date
04/07/2009
Last updated
04/07/2009
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