Organization
LISSETTE MOLINA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISSETTE MOLINA M.D. (PRESIDEMT)
(305) 667-4511
Entity
Organization
Contact information
Practice address
6141 SUNSET DR, SUITE 401, SOUTH MIAMI, FL 33143-5028
(305) 667-4511
Mailing address
6141 SUNSET DR, SUITE 401, SOUTH MIAMI, FL 33143-5028
(305) 667-4511
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME101165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME101165
MEDICAL LICENSE
FL
Enumeration date
05/14/2008
Last updated
09/02/2008
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