Organization
ROSSANA MOURA MD PA
Active
Organization
ROSSANA MOURA MD PA
Active
Other names
ROSSANA MOURA MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSSANA MOURA MD (AUTHORIZED OFFICIAL)
(954) 874-9000
Entity
Organization
Contact information
Practice address
1601 N PALM AVE STE 311, PEMBROKE PINES, FL 33026-3242
(954) 874-9000
(954) 874-7901
Mailing address
1601 N PALM AVE STE 311, PEMBROKE PINES, FL 33026-3242
(954) 874-9000
(954) 874-7901
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME79901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME79901
LICENSE
FL
Enumeration date
03/18/2008
Last updated
04/20/2022
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