# EDMUNDO L MOLINA M.D P.A

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

## Provider details

- **NPI number:** 1922303536
- **Authorized official:** EDMUNDO LAZARO MOLINA M.D (DOCTOR)
- **Authorized official phone:** (305) 541-6415

## Contact information

- **Practice address:** 3260 NW 7TH ST \# 101, MIAMI, FL 33125-4102
- **Practice address phone:** (305) 541-6415
- **Practice address fax:** (305) 541-6655
- **Mailing address:** 3260 NW 7TH ST \# 101, MIAMI, FL 33125-4102
- **Mailing address phone:** (305) 541-6415
- **Mailing address fax:** (305) 541-6655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 01/13/2011