Jessica Mora is a Specialist in Fort Lauderdale, Florida. Jessica Mora practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jessica Mora is 1417005646. The last update date is 2007-07-08.
Jessica Mora's current location address is 5237 Sw 40th Ave, Fort Lauderdale, Florida. You can contact this provider via phone number 3052987966 and fax number 9545848190. The mailing address for Jessica Mora is 5237 Sw 40th Ave, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Mora |
|---|---|
| Address | 5237 Sw 40th Ave, Fort Lauderdale, Florida |
| Phone Number | 3052987966 |
| Fax Number | 9545848190 |
| Sole Proprietor | Y |
| Credentials | ATC, CSCS |
NPI Number Detail
| NPI Number | 1417005646 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5237 Sw 40th Ave |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333146501 |
| Phone Number | 3052987966 |
| Fax Number | 9545848190 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | AL1012 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AL1012 | FL | ATHLETIC TRAINER |
Post Comment/ Review Below
What is the Jessica Mora's unique identification number?
The Jessica Mora has been assigned the NPI (National Provider Identifier) Number 1417005646 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jessica Mora's facilities are geographically located?
The facilities of Jessica Mora are physically situated at the following location: 5237 Sw 40Th Ave, Fort Lauderdale, FL, 333146501.
What is Jessica Mora's area of expertise and its corresponding taxonomy classification?
The Jessica Mora's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When was the Jessica Mora's 1417005646 issued?
The Jessica Mora's 1417005646 was issued on 2007-01-05.
When was the information pertaining to Jessica Mora most recently updated or revised?
The details related to Jessica Mora, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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