| Antonio Mora Md Pa | |
|
1435 W 49th Pl Suite 305 Hialeah FL 33012-3197 | |
| (305) 251-3991 | |
| (305) 251-7982 |
| Full Name | Antonio Mora Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1435 W 49th Pl, Hialeah, Florida |
| Authorized Official Name and Position | Antonio Mora (MEDICAL DOCTOR) |
| Authorized Official Contact | 3052513991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Mora Md Pa 1435 W 49th Pl Suite 305 Hialeah FL 33012-3197 Ph: (305) 251-3991 | Antonio Mora Md Pa 1435 W 49th Pl Suite 305 Hialeah FL 33012-3197 Ph: (305) 251-3991 |
| NPI Number | 1255580437 |
|---|---|
| Provider Enumeration Date | 09/12/2008 |
| Last Update Date | 09/12/2008 |
| Medicare PECOS PAC ID | 7416073648 |
|---|---|
| Medicare Enrollment ID | O20100924001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255580437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0056780 (Florida) | Primary |
| Provider Name | Antonio Mora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891729919 PECOS PAC ID: 1153447305 Enrollment ID: I20101103001304 |
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