Provider Demographics
NPI:1043474901
Name:MORA, ARNALDO MANUEL (MD)
Entity Type:Individual
Prefix:
First Name:ARNALDO
Middle Name:MANUEL
Last Name:MORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8174
Mailing Address - Country:US
Mailing Address - Phone:561-495-1515
Mailing Address - Fax:561-450-7388
Practice Address - Street 1:5353 W ATLANTIC AVE
Practice Address - Street 2:SUITE 400A
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:561-495-1515
Practice Address - Fax:561-450-7388
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102149207R00000X
FL102149207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine