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Individual

CATHY L MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6063 SUNSET VISTA DR, LAKELAND, FL 33812-4441
(863) 279-7696
Mailing address
6063 SUNSET VISTA DR, LAKELAND, FL 33812-4441

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005267
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
APRN11005267
FL
Enumeration date
12/02/2019
Last updated
10/13/2021
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