Moljo, Rosa Jackeline

Moljo, Rosa Jackeline is an individual health care provider with primary practice located at 7390 Nw 5Th St Suite 3, Plantation FL 33317-1610. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Moljo, Rosa Jackeline can be contacted via phone (954) 424-9300.

Contact Information

Primary practice address
7390 Nw 5Th St Suite 3 Plantation FL 33317-1610
Fax: (954) 424-3315
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0007261 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS0007261 Florida

Profile Details

NPI number 1356436505
LBN Legal business name Moljo, Rosa Jackeline
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 15th, 2014 - about 11 years 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 1356436505 NPPES
Florida MEDICAID 273371400

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