Organization
PAUL B. MOLL, O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BRADLEY MOLL O.D. (MANAGER)
(772) 466-2070
Entity
Organization
Contact information
Practice address
828 S US HIGHWAY 1, FORT PIERCE, FL 34950-5126
(772) 466-2070
Mailing address
828 S US HIGHWAY 1, FORT PIERCE, FL 34950-5126
(772) 466-2070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2908
FL
Other
Enumeration date
02/12/2008
Last updated
03/20/2008
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