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Individual

LUIS MARIO MOLINA

Active
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Individual

LUIS MARIO MOLINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN11003688
FL
225700000X
Massage Therapist
MA51731
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11003668
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN11003688
ADVANCE PRACTICE REGISTERED NURSE
FL
01
RN9396435
REGISTERED NURSE
FL
Enumeration date
10/22/2010
Last updated
02/17/2022
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