Organization Active NPI

Mora Medical (FL), PLLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1053059451
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MORA MEDICAL (FL), PLLC
Practice address
Regus, Miami Airport, Waterford (Office Suites)
6303 Blue Lagoon Drive Waterford, #400
Miami, FL 33126
Phone
(949) 688-0246
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Laurie Marbas, MD
Title
Ceo
Phone
(970) 620-0345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

Regus, Miami Airport, Waterford (Office Suites)
6303 Blue Lagoon Drive Waterford, #400
Miami, FL 33126

Mailing address

6303 Blue Lagoon Dr
Miami, FL 33126-6002
Phone (949) 791-9745

Other practice location 1

3000 Professional Dr Ste A
Springfield, IL 62703-5943
Phone (949) 791-9745

Other practice location 2

4568 Mayfield Rd Ste 204
Cleveland, OH 44121-4050
Phone (949) 791-9745

Other practice location 3

2005 E 2700 S Ste 200
Salt Lake City, UT 84109-1766
Phone (949) 791-9745

Other practice location 4

1 Canal Plz Fl 9
Portland, ME 04101-4098
Phone (949) 791-9745

Other practice location 5

12600 Hill Country Blvd Ste R-275
Austin, TX 78738-6768
Phone (949) 791-9745

Other practice location 6

720 S Colorado Blvd Ph North
Denver, CO 80246-1904
Phone (949) 791-9745

Other names 2

  • Mora Medical Doing business as
  • Blueberry Health (FL) PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

6303 Waterford District Dr
Miami, FL 33126
Phone (786) 558-6270

4568 Mayfield Rd
Ste 204
Cleveland, OH 44121

5301 Southwest Pkwy
Austin, TX 78735
Phone (727) 410-3707

12600 Hill Country Blvd
Ste 400
Austin, TX 78738

5301 Southwest Pkwy
Bldg 1-400
Austin, TX 78735

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1053059451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 BLUE LAGOON DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266002",
            "telephone_number": "949-791-9745",
            "fax_number": "877-349-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REGUS, MIAMI AIRPORT, WATERFORD (OFFICE SUITES)",
            "address_2": "6303 BLUE LAGOON DRIVE WATERFORD, #400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "949-688-0246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Professional Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627035943",
            "country_code": "US",
            "telephone_number": "949-791-9745",
            "fax_number": "877-349-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4568 Mayfield Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441214050",
            "country_code": "US",
            "telephone_number": "949-791-9745",
            "fax_number": "877-349-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 E 2700 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841091766",
            "country_code": "US",
            "telephone_number": "949-791-9745",
            "fax_number": "877-349-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Canal Plz Fl 9",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014098",
            "country_code": "US",
            "telephone_number": "949-791-9745",
            "fax_number": "877-349-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12600 Hill Country Blvd Ste R-275",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787386768",
            "country_code": "US",
            "telephone_number": "949-791-9745",
            "fax_number": "877-349-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 S Colorado Blvd Ph North",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461904",
            "country_code": "US",
            "telephone_number": "949-791-9745",
            "fax_number": "877-349-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORA MEDICAL (FL), PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MARBAS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-620-0345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mora Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mora Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blueberry Health (FL) PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.