MEDICARE: DR. YOLANDA M MOLINARIS M.D

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	207Q00000X	Family Medicine Physician	ME118090	FL
2	207V00000X	Obstetrics & Gynecology Physician	ME118090	FL
3	207VG0400X	Gynecology Physician	ME118090	FL
4	208D00000X	General Practice Physician	ME118090	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710984919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOLANDA M MOLINARIS M.D

Provider Business Mailing Address
First Line	:	601 S HARBOUR ISLAND BLVD STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5925
Country	:	US
Telephone Number	:	800-480-5243
Fax Number	:	800-928-7449

Provider Business Practice Location Address
First Line	:	12554 S JOHN YOUNG PKWY STE 105
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-4004
Country	:	US
Telephone Number	:	407-559-3800
Fax Number	:	407-559-3801

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	08/21/2023

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Directions to “ DR. YOLANDA M MOLINARIS M.D” Practice Location

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