Individual
DR. TOMAS RODRIGUEZ MOLINET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1070 N STONE ST STE D, DELAND, FL 32720-0824
(386) 822-9112
(386) 424-5249
Mailing address
PO BOX 945385, ATLANTA, GA 30394-5385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234802
NY
207RG0100X
Gastroenterology Physician
25049
WV
207RG0100X
Gastroenterology Physician
Primary
ME89177
FL
207RG0100X
Gastroenterology Physician
S8378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25049
STATE MEDICAL LICENSE
WV
01
—
3810024066
MEDICAID
WV
01
—
P01178675
RR MEDICARE PTAN
WV
01
—
WV1851A
MEDICARE PTAN
WV
Enumeration date
04/03/2007
Last updated
09/13/2024
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