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1649971334
FRED MOLINE
TAMPA, FL
NPI
1649971334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11025185)
Enumeration Date
2023-03-10
Last Update Date
2023-04-03
Business Address
FRED MOLINE
5510 N HESPERIDES ST
TAMPA, FL 33614-5414
Phone number: 813-467-6111
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Mailing Address
FRED MOLINE
450 NE 160TH TER
NORTH MIAMI BEACH, FL 33162-4339
Phone number: 305-927-6073
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