Healthcare Provider Details

I. General information

NPI: 1700750353
Provider Name (Legal Business Name): MOLLY BAUMEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13660 S JOG RD STE 1B
DELRAY BEACH FL
33446-3806
US

IV. Provider business mailing address

13660 S JOG RD STE 1B
DELRAY BEACH FL
33446-3806
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-6622
  • Fax: 561-499-6795
Mailing address:
  • Phone: 561-499-6622
  • Fax: 561-499-6795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9120793
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: