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Organization

ANTONIO MORA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTONIO MORA MD (MEDICAL DOCTOR)
(305) 251-3991
Entity
Organization

Contact information

Practice address
1435 W 49TH PL, SUITE 305, HIALEAH, FL 33012-3197
(305) 251-3991
(305) 251-7982
Mailing address
1435 W 49TH PL, SUITE 305, HIALEAH, FL 33012-3197
(305) 251-3991
(305) 251-7982

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0056780
FL

Other

Enumeration date
09/12/2008
Last updated
09/12/2008
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