SearchFlorida207RI0200X

Miguel Mateos-Mora, M.D.,

NPI 1992790851 · on the registry since 2005 · sole proprietor

Practice

Address
445 Pineda Ct
Melbourne, FL 32940
Phone
(321) 254-1611
Fax
(321) 254-3166
Organisation at this address
Brevard Wound Care Center, Llc
Sunshine Pediatrics Of Brevard
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207RI0200X
207RI0200X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida