Individual
JEFFREY M MOLL
Active
Individual
JEFFREY M MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME88936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009982065
—
AL
05
—
268309100
—
FL
01
—
59169913
BCBS
AL
01
—
59169914
BCBS
AL
01
—
82124
BCBS
FL
01
—
P00134527
PALMETTO GBA-RR MEDICARE
—
Enumeration date
05/17/2006
Last updated
07/08/2007
Update your record
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