Jorge Camilo Mora, MD | |
501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 | |
(954) 442-2828 | |
(954) 442-3366 |
Full Name | Jorge Camilo Mora |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 501 Nw 179th Ave, Pembroke Pines, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114129210 | NPI | - | NPPES |
279110200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME98131 (Florida) | Primary |
Entity Name | Hernando Pasco Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245273093 PECOS PAC ID: 0547231474 Enrollment ID: O20040804000808 |
Entity Name | Yaneth Trujillo Md.pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093951196 PECOS PAC ID: 1951449784 Enrollment ID: O20091116000052 |
Mailing Address | Practice Location Address |
---|---|
Jorge Camilo Mora, MD 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 Ph: (954) 442-2828 | Jorge Camilo Mora, MD 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 Ph: (954) 442-2828 |
Maria Barrera, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 N Flamingo Rd Ste 104, Pembroke Pines, FL 33028 Phone: 954-430-3866 | |
Evelyn Nieves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12177 Pembroke Rd, Pembroke Pines, FL 33025 Phone: 954-436-0555 | |
Janice R Walker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2217 N University Dr, Pembroke Pines, FL 33024 Phone: 954-276-5552 Fax: 954-967-2741 | |
Dr. Jorge Jaime Alvarez, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 8399 Pines Blvd, Pembroke Pines, FL 33024 Phone: 954-518-6540 Fax: 954-443-8035 | |
Monali Laxpati Gidwani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 703 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-844-1300 Fax: 954-844-1310 | |
Sara Grace Wallin, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 600 N Hiatus Rd, Pembroke Pines, FL 33026 Phone: 954-526-6378 | |
Dr. Sonya K Dusseault, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Sw 129th Ave Ste 201, Pembroke Pines, FL 33027 Phone: 954-430-9898 Fax: 954-430-9677 |