MEDICARE: MONICA MORA

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	225700000X	Massage Therapist	MA103879	FL

General Provider Information

NPI Number	:	1427948579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA MORA

Provider Business Mailing Address
First Line	:	2173 CENTERVIEW CT N
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-1008
Country	:	US
Telephone Number	:	425-503-6125
Fax Number	:

Provider Business Practice Location Address
First Line	:	1822 DREW ST STE 105
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-2921
Country	:	US
Telephone Number	:	425-503-6125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/11/2025

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Directions to “ MONICA MORA ” Practice Location

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