| Entity Name: | NOEL MORA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 May 1999 (26 years ago) |
| Document Number: | P99000044618 |
| FEI/EIN Number | 65-0920813 |
| Address: | 13782 NW 23RD STREET, PEMBROKE PINES, FL 33028 |
| Mail Address: | 13782 NW 23RD STREET, PEMBROKE PINES, FL 33028 |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184867137 | 2009-04-07 | 2009-04-07 | 13782 NW 23RD ST, PEMBROKE PINES, FL, 330282621, US | 13782 NW 23RD ST, PEMBROKE PINES, FL, 330282621, US | |||||||||||||||||||||||
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| Phone | +1 954-437-0345 |
Authorized person
| Name | DR. NOEL J. MORA |
| Role | PRESIDENT |
| Phone | 9544370345 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | ME71747 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 261099000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORA, NOEL | Agent | 13782 NW 23RD STREET, PEMBROKE PINES, FL 33028 |
| Name | Role | Address |
|---|---|---|
| MORA, NOEL | Director | 13782 NW 23RD STREET, PEMBROKE PINES, FL 33028 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-05-03 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
