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MARIA E MORA MD PA NPI 1184657306


NPI Information

NPI: 1184657306
Provider Name: MARIA E MORA MD PA

Doing Business As: MIDDLEBURG PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0998802

Address:
91 BRANSCOMB RD
SUITE 3
GREEN COVE SPRINGS, FL
ZIP 32043
Phone: (904) 861-1034
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MARIA E MORA MD PA is a pediatrics in Green Cove Springs, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MARIA E MORA MD PA NPI is 1184657306. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Middleburg Pediatrics.

The provider's business location address is:

91 BRANSCOMB RD
SUITE 3
GREEN COVE SPRINGS, FL
ZIP 32043-223
Phone: (904) 861-1034
Fax: (904) 861-1037

The provider's authorized official is Maria Elena Mora .
The authorized official title is President and has the following contact phone number (904) 861-1034.

The CLIA number assigned to this NPI record is 10D0998802 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA9104224FLORIDANo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1271515500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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