Molano, Raymond

Molano, Raymond is an individual health care provider with primary practice located at 1700 Se Hillmoor Dr Ste 501 , Port St Lucie FL 34952-7536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Molano, Raymond can be contacted via phone (772) 204-8889.

Contact Information

Primary practice address
1700 Se Hillmoor Dr Ste 501 Port St Lucie FL 34952-7536
Phone: (772) 204-8889
Fax: (772) 204-8895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME108810 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301087752 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME108810 Florida

Profile Details

NPI number 1417070376
LBN Legal business name Molano, Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2007
Last updated May 8th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417070376 NPPES
Florida MEDICAID 008495800
Florida MEDICAID 103795000

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