Organization
JOSEPH MOLINA MD PROFESSIONAL ASSOC. FL
Active
Parent organization
MEDVANTX, INC.
Other names
Molina West Palm Beach
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
944 S MILITARY TRL, WEST PALM BEACH, FL 33415-3910
(561) 223-4081
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME114917
FL
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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