Mora, Charles H
Mora, Charles H is an sole proprietor health care provider with primary practice located at 5505 N Atlantic Ave Suite 106, Cocoa Beach FL 32931-5111. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mora, Charles H can be contacted via phone (321) 917-3329.Contact Information
Primary practice address
5505 N Atlantic Ave Suite 106
Cocoa Beach FL 32931-5111
Phone: (321) 917-3329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA7779 | Florida |
Profile Details
| NPI number | 1801035308 |
|---|---|
| LBN Legal business name | Mora, Charles H |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2009 |
| Last updated | Feb 7th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801035308 | NPPES |
| Florida | Other | MA7779 | STATE LICENSE NUMBER |
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