FRED MOLINE

TAMPA, FL
NPI1649971334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: FL  11025185)
Enumeration Date2023-03-10
Last Update Date2023-04-03
Business Address
FRED MOLINE
5510 N HESPERIDES ST
TAMPA, FL 33614-5414
Phone number: 813-467-6111
Mailing Address
FRED MOLINE
450 NE 160TH TER
NORTH MIAMI BEACH, FL 33162-4339
Phone number: 305-927-6073
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