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General NPI Number Information
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NPI Number | 1093366486
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Entity Type | Individual
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Provider Name | MELISSA MOLINA-MADRID PA
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Gender | Female
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1505 E MICHIGAN ST
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City | ORLANDO
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State | FL
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Zip | 32806-4818
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Country | US
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Telephone | 407-246-6620
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Fax | 407-246-6621
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Provider Business Mailing Address
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Address Line | 11001 W COLONIAL DR STE 120
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City | OCOEE
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State | FL
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Zip | 34761-2937
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Country | US
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Telephone | 321-221-7730
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9112588
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License Number State | FL
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