Individual
MAURICIO DAVID MORA VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3415 LEE BLVD, LEHIGH ACRES, FL 33971
(844) 342-7935
Mailing address
PO BOX 1357, FORT MYERS, FL 33902
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME161269
FL
Other
Enumeration date
06/05/2020
Last updated
07/14/2023
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