Mora Professional Services INC

NPI #1255618682 in Fort Myers, Florida

Provider Information

NPI Number: 1255618682
Entity Type: Organization
Organization Name: Mora Professional Services INC
Primary Specialty: Physician Assistant
Enumeration Date: Nov 14, 2011
Last Updated: Jun 4, 2012

Practice Location

Address: 12451 MCGREGOR PALMS DR
City: Fort Myers
State: Florida
ZIP Code: 33908-3055
Phone: (239) 292-9314

Authorized Official

Name: PATRICK G MORA, PA-C
Title: PRESIDENT
Phone: (239) 292-9314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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