MEDICARE: FRANCIS K MOLL III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME74586	FL

General Provider Information

NPI Number	:	1336145234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS K MOLL III M.D.

Provider Business Mailing Address
First Line	:	6280 W SAMPLE RD STE 203
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-3173
Country	:	US
Telephone Number	:	954-481-9942
Fax Number	:	954-481-9917

Provider Business Practice Location Address
First Line	:	6280 W SAMPLE RD STE 203
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-3173
Country	:	US
Telephone Number	:	954-481-9942
Fax Number	:	954-481-9917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	08/15/2019

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