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General NPI Number Information
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NPI Number | 1740194422
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Entity Type | Organization
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Legal Business Name | MOLINA HEALTHCARE OF FLORIDA, INC.
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 8400 NW 33RD ST STE 120A
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City | DORAL
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State | FL
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Zip | 33122-1937
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Country | US
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Telephone | 562-542-2188
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 NW 33RD ST STE 120A
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City | DORAL
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State | FL
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Zip | 33122-1937
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER GOVT. CONTRACTS
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Name | MELISSA DOMINGUEZ
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Credential |
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Telephone | 562-542-2188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | NULL
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