NPIMap

Organization Active NPI

Mora Professional Services Inc

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1255618682
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100684 Issued in FL
Legal business name
MORA PROFESSIONAL SERVICES INC
Practice address
12451 McGregor Palms Dr
Fort Myers, FL 33908-3055
Phone
(239) 292-9314
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Patrick G Mora, PA-CNPI 1437112638
Title
President
Phone
(239) 292-9314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA9100684 FL Primary

Addresses

Primary practice location

12451 McGregor Palms Dr
Fort Myers, FL 33908-3055

Mailing address

12451 McGregor Palms Dr
Fort Myers, FL 33908-3055
Phone (239) 292-9314

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1255618682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12451 MCGREGOR PALMS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083055",
            "telephone_number": "239-292-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12451 MCGREGOR PALMS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083055",
            "telephone_number": "239-292-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORA PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-292-9314",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.