| Noel Mora, M.d., P.a. | |
|
13782 Nw 23rd St Pembroke Pines FL 33028-2621 | |
| (954) 437-0345 | |
| Not Available |
| Full Name | Noel Mora, M.d., P.a. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 13782 Nw 23rd St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Noel J. Mora (PRESIDENT) |
| Authorized Official Contact | 9544370345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noel Mora, M.d., P.a. 13782 Nw 23rd St Pembroke Pines FL 33028-2621 Ph: (954) 437-0345 | Noel Mora, M.d., P.a. 13782 Nw 23rd St Pembroke Pines FL 33028-2621 Ph: (954) 437-0345 |
| NPI Number | 1184867137 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184867137 | NPI | - | NPPES |
| 261099000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME71747 (Florida) | Primary |
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