Eduardo Daniel Moreno Mandujano, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115758 Issued in FL

Practice address

2907 Kerry Forest Pkwy
Tallahassee, FL 32309-6825

Phone

(850) 900-1900

Fax

(850) 900-2900

NPI assigned

Feb 13, 2021

Last updated

Jun 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rural Urgent Care LLC

  dba MainStreet Family Care

  • Urgent Care Clinic/Center
  • Quincy, FL
  • NPI 1881353670
  Medicare reassignment Care Compare group NPD
• Caremed Clinic LLC

  • Internal Medicine Physician
  • Marianna, FL
  • NPI 1134774623
  Medicare reassignment
• Caremed Urgent Care LLC

  • Urgent Care Clinic/Center
  • Marianna, FL
  • NPI 1548902984
  Medicare reassignment
• Caremed Weight Loss LLC

  • Obesity Medicine (Internal Medicine) Physician
  • Marianna, FL
  • NPI 1982346326
  Medicare reassignment
• Patients First Lake Ella Medical Center P a

  dba Patients First Lake Ella

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1164524039
  Medicare reassignment
• Avecina Medical, PA

  • Urgent Care Clinic/Center
  • Ocala, FL
  • NPI 1356180798
  NPD
• Avecina Medical, PA

  • Urgent Care Clinic/Center
  • Yulee, FL
  • NPI 1962200717
  NPD
• Patients First Northampton Medical Center P a

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1942231683
  NPD
• Rural Urgent Care LLC

  dba MainStreet Family Care

  • Rural Health Clinic/Center
  • Eufaula, AL
  • NPI 1588450316
  NPD
• Rural Urgent Care LLC

  • Urgent Care Clinic/Center
  • Centre, AL
  • NPI 1932586476
  NPD
• Patients First Raymond Diehl Medical Center PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1295837169
  NPD (past)

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1144813890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096825",
            "telephone_number": "850-900-1900",
            "fax_number": "850-900-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096825",
            "telephone_number": "850-900-1900",
            "fax_number": "850-900-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO MANDUJANO",
        "first_name": "EDUARDO",
        "middle_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Morales, MD
• Elise Nicole Moralez
• Gisela Moran, RN, WCC
• More Ability Therapy Services, LLC
• More Healing Mental Health Care LLC
• Elias Moreno Mandujano, DO
• Morgan Dental Associates, PLLC
• Denise Morgan-Perry
• Susan L. Morgan-Smith, LMT
• Ashlee Elizabeth Miller Morgan, APRN

• Physician Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.