Provider Demographics
NPI:1558257006
Name:NOVA MEDICAL CENTER GROUP CORP
Entity type:Organization
Organization Name:NOVA MEDICAL CENTER GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:MORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-249-9263
Mailing Address - Street 1:3640 N FEDERAL HWY STE 5
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6648
Mailing Address - Country:US
Mailing Address - Phone:954-543-8282
Mailing Address - Fax:954-543-8288
Practice Address - Street 1:3640 N FEDERAL HWY STE 5
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-6648
Practice Address - Country:US
Practice Address - Phone:954-543-8282
Practice Address - Fax:954-543-8288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty