Individual
DR. ROSSANA MOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 N PALM AVE STE 311, PEMBROKE PINES, FL 33026-3242
(954) 874-7900
(954) 874-7901
Mailing address
1601 N PALM AVE STE 311, PEMBROKE PINES, FL 33026-3242
(954) 874-7900
(954) 874-7901
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD10776
FL
207RI0008X
Hepatology Physician
MD10776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME79901
MEDICAL LICENSE
FL
Enumeration date
07/09/2006
Last updated
04/05/2021
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