Mora, Patrick G

Mora, Patrick G is an individual health care provider with primary practice located at 9981 S Healthpark Dr Suite 120, Fort Myers FL 33908-3618. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mora, Patrick G can be contacted via phone (239) 343-6341.

Contact Information

Primary practice address
9981 S Healthpark Dr Suite 120 Fort Myers FL 33908-3618
Phone: (239) 343-6341
Fax: (239) 343-6342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9100684 Florida

Profile Details

NPI number 1437112638
LBN Legal business name Mora, Patrick G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 30th, 2021 - about 5 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 1437112638 NPPES
Florida MEDICAID 290465900
Florida Other 192485
Florida MEDICAID 2904659-00

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