Individual provider · Type 1 NPI
Eduardo Daniel Moreno Mandujano, PA
Physician Assistant · Tallahassee, FL
Practice location
2907 Kerry Forest Pkwy
Tallahassee, FL 32309-6825
Fax (850) 900-2900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9115758 (FL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1144813890
Eduardo Daniel Moreno Mandujano, PA's National Provider Identifier is 1144813890, issued on Feb 13, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tallahassee, FL. The record was last updated on Jun 30, 2026.