DR. LUIS FERNANDO MORA (NPI# 1104003664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104003664 |
| Entity Type | Individual |
| Full Name | DR. LUIS FERNANDO MORA |
| Credential | MD |
| Practice Address |
5258 Linton Blvd Ste 106 Delray Beach FL 33484 |
| Mailing Address |
5258 Linton Blvd Ste 106 Delray Beach FL 33484-6529 |
| Practice Telephone | 5613033491 |
| Practice Fax Number | 5613033496 |
| Mailing Telephone | 5613033491 |
| Mailing Fax Number | 8772485240 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 001574 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
ME122226 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014999300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487020681 | Luis Roberto Mora | Dietitian, Registered | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2015-08-11 |
| 1356576961 | Luis H. Mora | Podiatrist | 2749 Hylan Blvd, Staten Island, NY 10306-4656 | 2009-05-27 |
| Street Address |
5258 LINTON BLVD STE 106 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578576856 | Mark A Freher | Internal Medicine | 5258 Linton Blvd Ste 106, Delray Beach, FL 33484-6529 | 2006-08-15 |
| 1184999807 | Yoel R Vivas Md Pa | Internal Medicine | 5258 Linton Blvd Ste 106, Delray Beach, FL 33484-6529 | 2012-03-13 |
| 1619130291 | Yoel R Vivas | Internal Medicine | 5258 Linton Blvd Ste 106, Delray Beach, FL 33484 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578576856 | Mark A Freher | Internal Medicine | 5258 Linton Blvd Ste 106, Delray Beach, FL 33484-6529 | 2006-08-15 |
| 1184999807 | Yoel R Vivas Md Pa | Internal Medicine | 5258 Linton Blvd Ste 106, Delray Beach, FL 33484-6529 | 2012-03-13 |
| 1619130291 | Yoel R Vivas | Internal Medicine | 5258 Linton Blvd Ste 106, Delray Beach, FL 33484 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957336 | Charlotte Arrhythmia Center Pllc | Internal Medicine | 3400 Tamiami Trl Bldg 2, Port Charlotte, FL 33952-8102 | 2020-09-16 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1780150524 | Winter Haven Hospital Inc | Internal Medicine | 200 Avenue F Ne Fl 2, Winter Haven, FL 33881-4131 | 2018-10-19 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1629511035 | Ibrahim Heart Clinic Pllc | Internal Medicine | 13842 Harbor Creek Pl, Jacksonville, FL 32224-6895 | 2016-12-02 |
| 1710385240 | Heart Rhythm Center of South Florida Pa | Internal Medicine | 7000 Sw 97th Ave., Suite 102, Miami, FL 33173-1474 | 2014-12-16 |
| 1306262712 | Ian Parker | Internal Medicine | 6720 Crews Wood Ln, Lakeland, FL 33813-3955 | 2014-03-10 |
| 1578987855 | Integrated Care,llc | Internal Medicine | 603 North Flamingo Road, Suite 255, Pembroke Pines, FL 33028-1013 | 2014-02-07 |
| 1861768061 | Zubin Agarwal | Internal Medicine | 1600 Sw Archer Rd # 5, Gainesville, FL 32610-1473 | 2012-04-02 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.