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Individual

DR. JONATHAN LAZARO MOLLINEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2951 NW 49TH AVE STE 204, LAUDERDALE LAKES, FL 33313-1608
(754) 296-5900
Mailing address
2951 NW 49TH AVE STE 204, LAUDERDALE LAKES, FL 33313-1608
(754) 296-5900

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4362
FL

Other

Enumeration date
04/06/2020
Last updated
04/09/2024
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