Individual
DR. ANTONIO MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1435 W 49TH PL, SUITE 305, HIALEAH, FL 33012-3197
(305) 557-3600
(305) 558-8555
Mailing address
1435 W 49TH PL, SUITE 305, HIALEAH, FL 33012-3197
(305) 557-3600
(305) 558-8555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0056780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064747100
—
FL
Enumeration date
07/11/2006
Last updated
04/13/2010
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