Individual
DIANA CAMILA MORA MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0371
(352) 265-0301
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0371
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME127479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017758500
—
FL
Enumeration date
06/18/2013
Last updated
10/19/2023
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