Organization
NEUROCORTEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGIE MOLINET MOLINA (PARTNER)
(305) 669-2549
Entity
Organization
Contact information
Practice address
1360 S DIXIE HWY, SUITE 350, CORAL GABLES, FL 33146-2934
(305) 669-2549
(877) 579-7427
Mailing address
1360 S DIXIE HWY, SUITE 350, CORAL GABLES, FL 33146-2934
(305) 669-2549
(877) 579-7427
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY7041
FL
103T00000X
Psychologist
PY7041
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY7041
FL
103TC0700X
Clinical Psychologist
Primary
PY7041
FL
103TC1900X
Counseling Psychologist
PY7041
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY7041
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY7041
FL
103TS0200X
School Psychologist
PY7041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01126556
AMERIGROUP
FL
01
—
73582
BCBS
FL
Enumeration date
05/29/2014
Last updated
05/29/2014
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