MEDICARE: MOLLY IRENE MCMAHON

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	235Z00000X	Speech-Language Pathologist	SZ13250	FL

General Provider Information

NPI Number	:	1811824832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY IRENE MCMAHON

Provider Business Mailing Address
First Line	:	8716 NW 35TH RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-5691
Country	:	US
Telephone Number	:	320-292-4777
Fax Number	:

Provider Business Practice Location Address
First Line	:	12912 LEXINGTON SUMMIT ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-4306
Country	:	US
Telephone Number	:	320-292-4777
Fax Number	:

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

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ MOLLY IRENE MCMAHON ” Practice Location

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