Individual
MARK J MOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
204 S PARROTT AVE, OKEECHOBEE, FL 34974-4339
(863) 467-8382
Mailing address
204 S PARROTT AVE, OKEECHOBEE, FL 34974-4339
(863) 467-8382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651099741
—
FL
Enumeration date
01/16/2007
Last updated
11/15/2010
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