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NPI Code Detail

MEDICARE: LARA CESAR GABAS MOLINA MD

MEDICARE: LARA CESAR GABAS MOLINA MD
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
1207V00000XObstetrics & Gynecology PhysicianME165919FL

General Provider Information

NPI Number : 1831715010
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARA CESAR GABAS MOLINA MD
Provider Business Mailing Address
First Line : 250 HARRISON ST
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-5094
Country : US
Telephone Number : 212-686-8683
Fax Number : 321-268-4922
Provider Business Practice Location Address
First Line : 250 HARRISON ST
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-5094
Country : US
Telephone Number : 212-686-8683
Fax Number : 321-268-4922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2020
Last Update Date : 11/21/2024

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