Mrs Molly Christine Avola, DC | |
171 S Orlando Ave Ste A, Maitland, FL 32751-5653 | |
(312) 259-1113 | |
Not Available |
Full Name | Mrs Molly Christine Avola |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 171 S Orlando Ave Ste A, Maitland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457857773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH12454 (Florida) | Primary |
Provider Name | 100 Chiro Rosado Maitland Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174248207 PECOS PAC ID: 0840643557 Enrollment ID: O20240130001022 |
Mailing Address | Practice Location Address |
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Mrs Molly Christine Avola, DC 171 S Orlando Ave Ste A, Maitland, FL 32751-5653 Ph: (312) 259-1113 | Mrs Molly Christine Avola, DC 171 S Orlando Ave Ste A, Maitland, FL 32751-5653 Ph: (312) 259-1113 |
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