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Individual

DR. FRANCISCO JOSE MORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7480 FAIRWAY DR, STE #108, MIAMI LAKES, FL 33014-6879
(305) 820-6211
(305) 822-0116
Mailing address
14601 BALGOWAN RD APT 102, MIAMI LAKES, FL 33016-6455
(305) 820-6211
(305) 822-0116

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME34844
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066069800
FL
05
100019700
FL
Enumeration date
12/13/2006
Last updated
02/21/2019
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