Individual
MOLLY REISS POSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, PEDIATRIC MEDICAL EDUCATION ROOM HD 513, GAINESVILLE, FL 32610-0296
(352) 273-8234
Mailing address
5225 NW 43RD RD, GAINESVILLE, FL 32606-4323
(352) 222-9688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME113677
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006792700
—
FL
Enumeration date
04/02/2009
Last updated
12/06/2012
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