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Individual

BASSEM MORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 N ORANGE AVE STE 442, ORLANDO, FL 32804-4644
(407) 303-3692
Mailing address
2501 N ORANGE AVE STE 442, ORLANDO, FL 32804-4644
(407) 303-3692

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-113451
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
58638
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME125597
FL

Other

Enumeration date
10/05/2006
Last updated
11/06/2023
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