Active NPI
Mora Medical (FL), PLLC
- Internal Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
- Blueberry Health (FL) PLLC
National Provider Directory
National Provider DirectoryLocations
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.