Individual
MARDY LORENA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2281 NW 171ST TER, PEMBROKE PINES, FL 33028-2056
(754) 299-1508
Mailing address
2281 NW 171ST TER, PEMBROKE PINES, FL 33028-2056
(754) 299-1508
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
FL
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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