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General NPI Number Information
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NPI Number | 1063942381
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Entity Type | Organization
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Legal Business Name | YOLANDA MOLINARIS M.D., P.A.
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 1050 CYPRESS PKWY
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City | KISSIMMEE
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State | FL
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Zip | 34759-3328
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Country | US
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Telephone | 407-483-1400
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Fax | 407-483-1405
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Provider Business Mailing Address
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Address Line | PO BOX 616788
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City | ORLANDO
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State | FL
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Zip | 32861-6788
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Country | US
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Telephone | 407-483-1400
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Fax | 407-483-1405
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YOLANDA MOLINARIS
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Credential | M.D.
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Telephone | 407-265-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME118090
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License Number State | FL
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