Individual
NORMA LOPEZ-MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1721 MAIN ST, DUNEDIN, FL 34698-6402
(727) 824-8181
(727) 895-3762
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(172) 750-3534
(727) 895-3762
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME104536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001517000
—
FL
01
—
036.115567
ILLINOIS MEDICAL LICENSE
—
01
—
CF162Z
MEDICARE PTAN
FL
Enumeration date
04/27/2009
Last updated
03/21/2024
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