| Mora Medical | |
|
Regus, Miami Airport, Waterford (office Suites) 6303 Blue Lagoon Drive Waterford, #400 Miami FL 33126 | |
| (949) 688-0246 | |
| Not Available |
| Full Name | Mora Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | Regus, Miami Airport, Waterford (office Suites), Miami, Florida |
| Authorized Official Name and Position | Laurie Marbas (CEO) |
| Authorized Official Contact | 9706200345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mora Medical 6303 Blue Lagoon Dr Miami FL 33126-6002 Ph: (949) 791-9745 | Mora Medical Regus, Miami Airport, Waterford (office Suites) 6303 Blue Lagoon Drive Waterford, #400 Miami FL 33126 Ph: (949) 688-0246 |
| NPI Number | 1053059451 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 03/20/2023 |
| Medicare PECOS PAC ID | 2567844731 |
|---|---|
| Medicare Enrollment ID | O20220804000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053059451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yashoda Bhaskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336203363 PECOS PAC ID: 7113009549 Enrollment ID: I20230120000262 |
| Provider Name | Jennifer Wetherington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598956229 PECOS PAC ID: 1355430521 Enrollment ID: I20230323001958 |
| Provider Name | Jasneet Kullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639415870 PECOS PAC ID: 8527293166 Enrollment ID: I20230717000964 |
| Provider Name | Rakesh Jotwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609001965 PECOS PAC ID: 5991999237 Enrollment ID: I20230717003272 |
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