MEDICARE: MORA PROFESSIONAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9100684	FL

General Provider Information

NPI Number	:	1255618682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORA PROFESSIONAL SERVICES INC

Provider Business Mailing Address
First Line	:	12451 MCGREGOR PALMS DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3055
Country	:	US
Telephone Number	:	239-292-9314
Fax Number	:

Provider Business Practice Location Address
First Line	:	12451 MCGREGOR PALMS DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3055
Country	:	US
Telephone Number	:	239-292-9314
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATRICK G MORA
Credential	:	PA-C
Telephone Number	:	239-292-9314

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	06/04/2012

Similar Medicare Providers

1780473124 — VICTORIA RAMSEY
Practice Location Address:

5520 SYCAMORE SCHOOL RD
FORT WORTH, TX
76123-3055

Practice Phone: 540-960-0680
Practice Fax:

1609913136 — DR. DAVID MARON GLASSMAN DDS
Practice Location Address:

3055 HARBOR DR , SUITE 1101
FORT LAUDERDALE, FL
33316-2460

Practice Phone: 954-525-1101
Practice Fax: 954-525-1104

1568580926 — REVA, INC.
Practice Location Address:

2101 W COMMERCIAL BLVD STE 5100
FORT LAUDERDALE, FL
33309-3055

Practice Phone: 954-730-9300
Practice Fax: 888-422-5785

1649920190 — JOSHUA ANDREAS JENO HAGGENMACHER MD
Practice Location Address:

2101 W COMMERCIAL BLVD STE 5100
FORT LAUDERDALE, FL
33309-3055

Practice Phone: 954-730-9300
Practice Fax:

1033925896 — THOMAS MCEVILLY
Practice Location Address:

5308 STONEHEDGE BLVD APT 6
FORT WAYNE, IN
46835-3055

Practice Phone: 812-606-1102
Practice Fax:

1538032040 — MCKENNA BRIEANN BEACH
Practice Location Address:

13880 SHELL POINT PLZ
FORT MYERS, FL
33908-3503

Practice Phone: 239-415-5477
Practice Fax:

Directions to “MORA PROFESSIONAL SERVICES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.