Eduardo Moreno Mandujano, PA-C
NPI 1144813890 · Physician Assistant · Tallahassee, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eduardo Moreno Mandujano, PA-C is a Physician Assistant provider in Tallahassee, FL (NPI 1144813890).
Provider details
- NPI number
- 1144813890
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA9115758 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 331 Seminole DrMoultrie, GA 31768-9012Phone: (229) 589-1962
Registry dates
- Enumerated
- 2021-02-13
- Last updated
- 2025-01-26
- Certified
- 2025-01-26
Frequently asked questions
- What is Eduardo Moreno Mandujano's NPI number?
- Eduardo Moreno Mandujano's National Provider Identifier (NPI) is 1144813890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eduardo Moreno Mandujano's specialty?
- Eduardo Moreno Mandujano is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Eduardo Moreno Mandujano located?
- Eduardo Moreno Mandujano's practice location on file with NPPES is 2615 N Monroe St Ste 1, Tallahassee, FL 32303-4027.
- What is Eduardo Moreno Mandujano's phone number?
- The practice phone number listed in the NPPES registry for Eduardo Moreno Mandujano is (850) 558-6126.
- Does Eduardo Moreno Mandujano accept Medicare?
- Eduardo Moreno Mandujano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eduardo Moreno Mandujano's NPI active?
- Yes — Eduardo Moreno Mandujano's NPI (1144813890) is active in the NPPES registry as of the last update on 2025-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.