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Organization
MGHMI
Active
Organization
MGHMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA G MOLLE (OWNER)
(727) 638-9817
Entity
Organization
Contact information
Practice address
6109 N DAVIS HWY, PENSACOLA, FL 32504-6949
(850) 741-2251
(866) 258-9993
Mailing address
4311 BAYOU BLVD APT A8, PENSACOLA, FL 32503-2621
(506) 299-3668
(866) 258-9993
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
09/21/2022
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