Organization
MOYA-PRIDA MD
Active
Organization
MOYA-PRIDA MD
Active
Parent organization
MOYA-PRIDA MD
Other names
Moya Medical of Fort Myers
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOYA-PRIDA MD
Authorized official
JAYNIER MOYA MD (PRESIDENT)
(954) 239-7486
Entity
Organization
Contact information
Practice address
15200 S TAMIAMI TRL STE 116, FORT MYERS, FL 33908-4235
(954) 239-7486
(954) 376-7289
Mailing address
1460 S PALM AVE, PEMBROKE PINES, FL 33025-5520
(954) 239-7486
(954) 376-7289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001058800
—
FL
Enumeration date
12/05/2025
Last updated
12/05/2025
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