1821371667 NPI number — GRAZIELLA G MORA B.S., ATC, LAT

Table of content: GRAZIELLA G MORA B.S., ATC, LAT (NPI 1821371667)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821371667 NPI number — GRAZIELLA G MORA B.S., ATC, LAT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORA
Provider First Name:
GRAZIELLA
Provider Middle Name:
G
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
B.S., ATC, LAT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821371667
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10520 SW WATERWAY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT ST LUCIE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34987-1913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-489-5614
Provider Business Mailing Address Fax Number:
407-992-8663

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 NW PEACOCK BLVD
Provider Second Line Business Practice Location Address:
SUITE 103-104
Provider Business Practice Location Address City Name:
PORT ST LUCIE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34986-2366
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-646-4899
Provider Business Practice Location Address Fax Number:
772-646-4197
Provider Enumeration Date:
09/27/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2255A2300X , with the licence number:  AL 3186 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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