Carlos Mora (NPI# 1023007531, PAC ID# 1850357708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1023007531 |
| PAC ID by PECOS | 1850357708 |
| Professional Enrollment ID | I20190528002013 |
| Full Name | Carlos Mora |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Address |
3 Shircliff Way Dillion Building Suite 724 Jacksonville FL 32204-4786 |
| Phone Number | 9043087959 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2860411188 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090004 | MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 3 Shircliff Way, Dillion Building Suite 724, Jacksonville, FL 32204-4786 | 9043087959 | ST VINCENT'S AMBULATORY CARE INC |
| 4205 Belfort Rd, Jacksonville, FL 32216-1471 | 9043087959 | ST VINCENT'S AMBULATORY CARE INC |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Physicians | 317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadine Wlasiuk | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1658 St Vincent's Way, Suite 300, Middleburg, FL 32068-8431 |
| Felipe Velazquez | Family Medicine | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Ronnesia Austin Wright | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1503 Oak St, Jacksonville, FL 32204-3910 |
| Christa W Lehman | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 858 Monument Rd, Suite B, Jacksonville, FL 32225-6670 |
| Troy F Borema | Family Medicine | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Tanielle Lamonika Brew | Family Medicine | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Samantha J Barry | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 11512 Lake Mead Ave, Suite 521, Jacksonville, FL 32256-5835 |
| Caroline R Price | Family Medicine | St Vincent's Ambulatory Care Inc | 6856 103rd St, Jacksonville, FL 32210-6877 |
| Kathryn Melko | Registered Dietitian Or Nutrition Professional | St Vincent's Ambulatory Care Inc | 1801 Barrs St, Suite 120, Jacksonville, FL 32204-4738 |
| Street Address |
3 SHIRCLIFF WAY DILLION BUILDING SUITE 724 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4786 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette Laubscher | Family Medicine | Womens Care Florida LLC | 3 Shircliff Way, Suite 200, Jacksonville, FL 32204-4785 |
| Shenelle Davis Paulson | Nurse Practitioner | Borland-groover Clinic Pa | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 |
| Stephen E Kuehn | Gastroenterology | Borland-groover Clinic Pa | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 |
| Patricia Jones | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 330, Jacksonville, FL 32204-4780 |
| Nitika Malhotra | Endocrinology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 601, Jacksonville, FL 32204-4776 |
| David Lynn Miller Jr. | Obstetrics/gynecology | Womens Care Florida LLC | 3 Shircliff Way, Suite 200, Jacksonville, FL 32204-4785 |
| Ali Moghani Lankarani | Gastroenterology | Borland-groover Clinic Pa | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 |
| Joyce B Ravain | Emergency Medicine | 3 Shircliff Way, Suite 520, Jacksonville, FL 32204-4777 | |
| William H. Long | Obstetrics/gynecology | Womens Care Florida LLC | 3 Shircliff Way, Suite 200, Jacksonville, FL 32204-4785 |
| David R Chabolla | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 714, Jacksonville, FL 32204-4776 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | NEUROLOGY |
| City + Specialty | JACKSONVILLE + NEUROLOGY |
Please comment or provide details below to improve the information on Carlos Mora.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.