Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eduardo Daniel Moreno Mandujano, PA

Individual provider Physician Assistant · NPI 1144813890

Eduardo Daniel Moreno Mandujano, PA is a Physician Assistant in Tallahassee, Florida. Qualified in 2021, 5 years ago. Practices with Rural Urgent Care LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2907 Kerry Forest Pkwy
Tallahassee, FL 32309-6825
Phone: (850) 900-1900
Fax: (850) 900-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115758 (FL)

Record details

NPI number1144813890
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 13, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rural Urgent Care Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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