Individual
ERIN E. MOLLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, JACKSONVILLE, FL 32207-8426
(904) 697-3694
(904) 697-3927
Mailing address
P.O. BOX 5720, PROVIDER ENROLLMENT DEPARTMENT, JACKSONVILLE, FL 32247-5720
(904) 697-5650
(407) 650-7578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105618
FL
363AS0400X
Surgical Physician Assistant
PA9105618
FL
Other
Enumeration date
09/10/2010
Last updated
10/13/2010
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