NPPES file of Aug 9, 2026

Eduardo Daniel Moreno Mandujano, PA

Physician Assistant · Tallahassee, FL

Eduardo Daniel Moreno Mandujano, PA is a physician assistant with a practice address in Tallahassee, Florida, and NPI 1144813890, issued on Feb 13, 2021. Check the license (Florida PA9115758, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1144813890
Name
Eduardo Daniel Moreno Mandujano
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
PA9115758 FL
Self-reported in NPPES; status is on the state search
Practice location
2907 Kerry Forest Pkwy, Tallahassee, FL 32309
Phone
(850) 900-1900
Enumerated
Feb 13, 2021
Record last updated
Jun 30, 2026
Fax
(850) 900-2900
Medicare enrollment
Enrolled (PECOS I20230213001672); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 10,257 in Florida → Look up another NPI →

Also registered at 2907 Kerry Forest Pkwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Richard Donovan, P.A.-CMedical Physician Assistant1013018837
  2. Ruth Morgan, M.D.Internal Medicine Physician1962443531
  3. Randy Reese, M.D.Family Medicine Physician1083654693
  4. Robert Simpson, PH. D. L.M.F.T.Marriage & Family Therapist1447351846
  5. Catherine Tilbury, ARNPFamily Nurse Practitioner1093816878

Verify Eduardo Daniel Moreno Mandujano in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license PA9115758    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Rural Urgent Care LLCQuincy, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Eduardo Daniel Moreno Mandujano among 10,257 physician assistant records in Florida

Eduardo Daniel Moreno Mandujano, PA is one of 10,257 physician assistant records with a practice address in Florida. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 65% of them.

  • NPI issued2021 · 65% of these records are older, 29% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 57% of these records are
  • Graduated2021 · median 2018 among the 5,867 with a school on file
  • Record last updated2026 · 37% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

180 physician assistant records list a practice address in Tallahassee

They are 180 of the 6,767 NPPES records with a practice address in Tallahassee, and 10,257 physician assistant records in Florida.

All 10,257 in Florida → Every provider in Tallahassee → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Michael BlackTallahassee, FL 323081043103674
  2. Yasmeen DanawalaTallahassee, FL 323081013700848
  3. Elise Elegeert, PATallahassee, FL 323101558741165
  4. Mayya FishmanTallahassee, FL 323081689538662
  5. Dominick GiovannoneTallahassee, FL 323081932992799
  6. Tara GriffithTallahassee, FL 323081417760588
  7. Allison Justice, PA-CTallahassee, FL 323101720489941
  8. Peter Konou, PA-CTallahassee, FL 323081902613078

Common questions

What is Eduardo Daniel Moreno Mandujano, PA's NPI number?

Eduardo Daniel Moreno Mandujano, PA's National Provider Identifier (NPI) is 1144813890, issued on Feb 13, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Eduardo Daniel Moreno Mandujano, PA located?

The NPPES record lists a practice address at 2907 Kerry Forest Pkwy, Tallahassee, FL, 32309. Phone: (850) 900-1900. Providers update this record themselves, so call before visiting.

How can I verify Eduardo Daniel Moreno Mandujano, PA's license?

NPPES lists Florida license number PA9115758, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.