Active NPI
Deborah Maria Ball Mora, MD
- General Practice Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1304
- Practice address
- 1104 Beville Rd
Daytona Beach, FL 32114-5797 - Phone
- (386) 760-8116
- Fax
- (888) 804-6503
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1304 | FL | Primary |
Addresses
Primary practice location
1104 Beville Rd
Daytona Beach, FL 32114-5797
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deborah.ball.mora.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1104 Beville Rd
Daytona Beach, FL 32114-5797
Phone (386) 760-8116
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
- Adventhealth Deland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1304 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | General Practice | Current | Accepting new patients |
| Img Medical Group de PA | Current | Accepting new patients | |
| Florida Medical Associates LLC | Current | Accepting new patients |
Locations
1104 Beville Rd
Daytona Beach, FL 32114
Phone (386) 416-9869
233A E International Speedway Blvd
Deland, FL 32724
Phone (386) 845-0581
6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686
440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000
5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- deborah.ball@sl.eclinicaldirectplus.com
- deborah.ball.mora.1@29601.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
General Practice
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Sports Medicine (Family Medicine) Physician
- Boynton Beach, FL
- NPI 1720708589
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1245895887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 BEVILLE RD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321145797",
"telephone_number": "386-760-8116",
"fax_number": "888-804-6503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL MORA",
"first_name": "DEBORAH",
"middle_name": "MARIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1304",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deborah.ball.mora.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1104 Beville Rd",
"city": "Daytona Beach",
"state": "FL",
"country_code": "US",
"postal_code": "321145797",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.