# LISSETTE MOLINA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184891434
- **Authorized official:** DR. LISSETTE MOLINA M.D. (PRESIDEMT)
- **Authorized official phone:** (305) 667-4511

## Contact information

- **Practice address:** 6141 SUNSET DR, SUITE 401, SOUTH MIAMI, FL 33143-5028
- **Practice address phone:** (305) 667-4511
- **Mailing address:** 6141 SUNSET DR, SUITE 401, SOUTH MIAMI, FL 33143-5028
- **Mailing address phone:** (305) 667-4511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | ME101165 | FL | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 09/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME101165 | MEDICAL LICENSE | FL |