Healthcare Provider Details

I. General information

NPI: 1598080178
Provider Name (Legal Business Name): DR. WILLIAM JOSEPH MOLINARI III
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 112727 BOX 665
GAINESVILLE FL
32611-2727
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7002
  • Fax: 352-273-7388
Mailing address:
  • Phone: 352-273-7002
  • Fax: 352-273-7388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME128096
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: