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Organization
JOSEPH M MOLINA MD PROFESSIONAL ASSOCIATION - FLORIDA
Active
Organization
JOSEPH M MOLINA MD PROFESSIONAL ASSOCIATION - FLORIDA
Active
Other names
Molina Medical Group of Florida
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 TRL, 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
—
CA
208000000X
Pediatrics Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007624800-EF12/21/12
—
FL
01
—
DV3514- EFF 7/31/12
RAILROAD MEDICARE
FL
Enumeration date
05/14/2013
Last updated
04/23/2015
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