Mateos-Mora, Miguel

Mateos-Mora, Miguel is an sole proprietor health care provider with primary practice located at 445 Pineda Ct , Melbourne FL 32940-7536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Mateos-Mora, Miguel can be contacted via phone (321) 254-1611.

Contact Information

Primary practice address
445 Pineda Ct Melbourne FL 32940-7536
Phone: (321) 254-1611
Fax: (321) 254-3166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME50407 Florida

Profile Details

NPI number 1992790851
LBN Legal business name Mateos-Mora, Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Oct 4th, 2011 - about 13 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 1992790851 NPPES
Florida MEDICAID 061083600

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