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MOLINA HEATHCARE OF FLORIDA INC NPI 1336414119


NPI Information

NPI: 1336414119
Provider Name: MOLINA HEATHCARE OF FLORIDA INC

Doing Business As: MOLINA MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3514 BROADWAY
RIVIERA BEACH, FL
ZIP 33404
Phone: (561) 223-4573
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MOLINA HEATHCARE OF FLORIDA INC is a family medicine in Riviera Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOLINA HEATHCARE OF FLORIDA INC NPI is 1336414119. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Molina Medical.

The provider's business location address is:

3514 BROADWAY
RIVIERA BEACH, FL
ZIP 33404-332
Phone: (561) 223-4573
Fax: (877) 860-2271

The provider's authorized official is Gloria Calderon .
The authorized official title is Vice President, Clinic Operations and has the following contact phone number (562) 491-7053.

The enumeration date for this NPI number is 3/13/2012 and was last updated on 8/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GO389AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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