MEDICARE: MARIA KARLA MOLL NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	9338011	FL

General Provider Information

NPI Number	:	1437698834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA KARLA MOLL NP

Provider Business Mailing Address
First Line	:	14314 SPORTS CLUB WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6985
Country	:	US
Telephone Number	:	786-413-4049
Fax Number	:

Provider Business Practice Location Address
First Line	:	14314 SPORTS CLUB WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6985
Country	:	US
Telephone Number	:	786-413-4049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2017
Last Update Date	:	05/02/2022

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