Organization · Type 2 NPI

Moya-Prida MD

Multi-Specialty Clinic/Center · Fort Myers, FL

NPI number 1609739721 Active

Practice location

15200 S Tamiami Trl Ste 116
Fort Myers, FL 33908-4235

Call (954) 239-7486 Map

Fax (954) 376-7289

Mailing address

1460 S Palm Ave
Pembroke Pines, FL 33025-5520

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1609739721

Moya-Prida MD's National Provider Identifier is 1609739721, issued on Dec 5, 2025. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fort Myers, FL. The record was last updated on Dec 5, 2025.