Individual
IRIS MORA TEJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
603 N FLAMINGO RD STE 357, PEMBROKE PINES, FL 33028-1013
(954) 450-8488
(954) 450-8860
Mailing address
1519 W 42ND PL, HIALEAH, FL 33012-7604
(786) 247-6919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11012623
FL
363LF0000X
Family Nurse Practitioner
11012623
FL
Other
Enumeration date
09/07/2022
Last updated
03/13/2023
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