Provider Demographics
NPI:1851396758
Name:ALBORS MORA, MELANIE M (M D)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:M
Last Name:ALBORS MORA
Suffix:
Gender:F
Credentials:M D
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:M
Other - Last Name:ALBORS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9398 JUNIPER MOSS CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6298
Mailing Address - Country:US
Mailing Address - Phone:939-940-8188
Mailing Address - Fax:
Practice Address - Street 1:9398 JUNIPER MOSS CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6298
Practice Address - Country:US
Practice Address - Phone:939-940-8188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13706207R00000X
FLME122034207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH77812Medicare UPIN
PR0021346Medicare ID - Type Unspecified