Organization
DB MOURA INC.
Active
Other names
Outpatient Homecare Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN P MOURA (VICE PRESIDENT)
(407) 494-0644
Entity
Organization
Contact information
Practice address
3870 WATERCREST DR, LONGWOOD, FL 32779-2356
(407) 494-0644
(407) 494-0644
Mailing address
3870 WATERCREST DR, LONGWOOD, FL 32779-2356
(407) 494-0644
(407) 494-0644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224186860
—
FL
Enumeration date
02/26/2014
Last updated
07/21/2022
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