# PAUL B. MOLL, O.D. LLC

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

## Provider details

- **NPI number:** 1518135649
- **Authorized official:** DR. PAUL BRADLEY MOLL O.D. (MANAGER)
- **Authorized official phone:** (772) 466-2070

## Contact information

- **Practice address:** 828 S US HIGHWAY 1, FORT PIERCE, FL 34950-5126
- **Practice address phone:** (772) 466-2070
- **Mailing address:** 828 S US HIGHWAY 1, FORT PIERCE, FL 34950-5126
- **Mailing address phone:** (772) 466-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2908 | FL | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 03/20/2008