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Individual

DR. MICHAEL MOLLOD

Active
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Individual

DR. MICHAEL MOLLOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME72332
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060063670
MEDICARE RR
FL
01
32741
BCBS
FL
05
374146000
FL
Enumeration date
08/09/2005
Last updated
04/22/2011
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