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Organization

MOLINA HEALTHCARE OF - FLORIDA

Active
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Organization

MOLINA HEALTHCARE OF - FLORIDA

Active
Other names
Molina Medical
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA CALDERON (VICE PRESIDENT, CLINIC OPERATIONS)
(562) 491-7053
Entity
Organization

Contact information

Practice address
944 S. MILITARY TRAIL, WEST PALM BEACH, FL 33415-3910
(561) 223-4081
(877) 778-9601
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—

Other

Enumeration date
09/02/2011
Last updated
08/07/2013
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