Individual
DR. FONDA MARIE MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
828 S US HIGHWAY 1, FORT PIERCE, FL 34950-5126
(772) 466-2070
Mailing address
828 S US HIGHWAY 1, FORT PIERCE, FL 34950-5126
(772) 466-2070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2905
FL
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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