MEDICARE: MOLINET MD PA

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	207RG0100X	Gastroenterology Physician	ME89177	FL

General Provider Information

NPI Number	:	1336300839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOLINET MD PA

Provider Business Mailing Address
First Line	:	PO BOX 13076
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-7076
Country	:	US
Telephone Number	:	561-598-6555
Fax Number	:	561-598-6600

Provider Business Practice Location Address
First Line	:	3015 S CONGRESS AVE
Second Line	:	SUITE 1
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2111
Country	:	US
Telephone Number	:	561-598-6555
Fax Number	:	561-598-6600

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TOMAS RODRIGUEZ MOLINET
Credential	:	M.D.
Telephone Number	:	305-804-1997

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	04/14/2011

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Directions to “MOLINET MD PA ” Practice Location

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