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

Individual provider Specialist · NPI 1417005646

Jessica Mora, ATC, CSCS is a Specialist in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5237 SW 40th Ave
Fort Lauderdale, FL 33314-6501
Phone: (305) 298-7966
Fax: (954) 584-8190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence AL1012 (FL)

Record details

NPI number1417005646
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , CSCS
Sole proprietorYes
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007

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