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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