De Mora, Maria E

De Mora, Maria E is an sole proprietor health care provider with primary practice located at 11722 Lynn Brook Cir , Seffner FL 33584-7203. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. De Mora, Maria E can be contacted via phone (813) 484-2314.

Contact Information

Primary practice address
11722 Lynn Brook Cir Seffner FL 33584-7203
Fax: (813) 433-5163
Website:

Profile Details

NPI number 1407079700
LBN Legal business name De Mora, Maria E
Credentials D.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Sep 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407079700 NPPES
Florida MEDICAID 811584200

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