NPI | 1053059451 |
---|---|
Doing Business As | MORA MEDICAL |
Former Legal Business Name | BLUEBERRY HEALTH (FL) PLLC |
Entity Type | Organization |
Authorized Contact | LAURIE MARBAS CEO 970-620-0345 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2022-05-25 |
Last Update Date | 2023-03-20 |