Mora, Noel J
Mora, Noel J is an individual health care provider with primary practice located at 1759 N University Dr , Hollywood FL 33024-3601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Mora, Noel J can be contacted via phone (954) 842-2175.Contact Information
Primary practice address
1759 N University Dr
Hollywood FL 33024-3601
Phone: (954) 842-2175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME71747 | Florida |
Profile Details
| NPI number | 1538196258 |
|---|---|
| LBN Legal business name | Mora, Noel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | May 15th, 2024 - about 6 months 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 | 1538196258 | NPPES |
| Florida | MEDICAID | 261099000 |
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