Mateos-Mora, Miguel
Mateos-Mora, Miguel is an sole proprietor health care provider with primary practice located at 445 Pineda Ct , Melbourne FL 32940-7536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Mateos-Mora, Miguel can be contacted via phone (321) 254-1611.Contact Information
Primary practice address
445 Pineda Ct
Melbourne FL 32940-7536
Phone: (321) 254-1611
Fax: (321) 254-3166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME50407 | Florida |
Profile Details
| NPI number | 1992790851 |
|---|---|
| LBN Legal business name | Mateos-Mora, Miguel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Oct 4th, 2011 - 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 | 1992790851 | NPPES |
| Florida | MEDICAID | 061083600 |
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