Healthcare Provider Details

I. General information

NPI: 1336632470
Provider Name (Legal Business Name): NORMA Y MOLANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 ASH DR
HOLLYWOOD FL
33026-1102
US

IV. Provider business mailing address

1346 NW 126TH WAY
SUNRISE FL
33323-3196
US

V. Phone/Fax

Practice location:
  • Phone: 561-767-4421
  • Fax:
Mailing address:
  • Phone: 954-479-7245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI984
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ10505
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: