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Individual

IRALDO FROMETA MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN FNP AUTONOMOUS

Contact information

Practice address
8415 SW 107TH AVE APT 144W, MIAMI, FL 33173-4376
(786) 873-1306
Mailing address
8724 SW 72ND ST # 455, MIAMI, FL 33173-3512
(786) 873-1306

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9420544
FL
163WG0000X
General Practice Registered Nurse
Primary
11029566
FL
363L00000X
Nurse Practitioner
Primary
11029566
FL

Other

Enumeration date
05/24/2010
Last updated
08/01/2026
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