Healthcare Provider Details

I. General information

NPI: 1821790700
Provider Name (Legal Business Name): MOLLY MCCOY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 SE 28TH LOOP
OCALA FL
34471-1080
US

IV. Provider business mailing address

7550 SW 61ST AVE STE 1
OCALA FL
34476-8310
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-4634
  • Fax:
Mailing address:
  • Phone: 352-351-4634
  • Fax:

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 Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME183596
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: