Provider Demographics
NPI:1124493226
Name:MORA, FRANCO
Entity type:Individual
Prefix:
First Name:FRANCO
Middle Name:
Last Name:MORA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1753 SW 13TH ST
Mailing Address - Street 2:UNIT # 4
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1477
Mailing Address - Country:US
Mailing Address - Phone:305-878-8856
Mailing Address - Fax:
Practice Address - Street 1:1753 SW 13TH ST
Practice Address - Street 2:UNIT # 4
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-1477
Practice Address - Country:US
Practice Address - Phone:305-878-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLM600245840550242T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist