| Rossana Moura Md Pa | |
|
1601 N Palm Ave Ste 311 Pembroke Pines FL 33026-3242 | |
| (954) 874-9000 | |
| (954) 874-7901 |
| Full Name | Rossana Moura Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1601 N Palm Ave Ste 311, Pembroke Pines, Florida |
| Authorized Official Name and Position | Rossana Moura (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9548749000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rossana Moura Md Pa 1601 N Palm Ave Ste 311 Pembroke Pines FL 33026-3242 Ph: (954) 874-9000 | Rossana Moura Md Pa 1601 N Palm Ave Ste 311 Pembroke Pines FL 33026-3242 Ph: (954) 874-9000 |
| NPI Number | 1821269846 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 04/20/2022 |
| Medicare PECOS PAC ID | 2961577267 |
|---|---|
| Medicare Enrollment ID | O20080821000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821269846 | NPI | - | NPPES |
| ME79901 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME79901 (Florida) | Primary |
| Provider Name | Rossana Moura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801829189 PECOS PAC ID: 5698840999 Enrollment ID: I20080821000211 |
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