Mora, Salvador Enrique

Mora, Salvador Enrique is an individual health care provider with primary practice located at 10910 Pembroke Rd , Miramar FL 33025-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mora, Salvador Enrique can be contacted via phone (954) 276-5552.

Contact Information

Primary practice address
10910 Pembroke Rd Miramar FL 33025-1706
Fax: (954) 441-9680
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME72632 Florida

Profile Details

NPI number 1154301828
LBN Legal business name Mora, Salvador Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 22nd, 2021 - about 4 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 1154301828 NPPES
Florida MEDICAID 001074000

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