Jose R Mole Md Pa | |
2931 W Hillsborough Ave Tampa FL 33614-6054 | |
(813) 930-0930 | |
(813) 930-0950 |
Full Name | Jose R Mole Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 2931 W Hillsborough Ave, Tampa, Florida |
Authorized Official Name and Position | Jose R Mole (PHYSICIAN) |
Authorized Official Contact | 8139300930 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jose R Mole Md Pa 2931 W Hillsborough Ave Tampa FL 33614-6054 Ph: (813) 930-0930 | Jose R Mole Md Pa 2931 W Hillsborough Ave Tampa FL 33614-6054 Ph: (813) 930-0930 |
NPI Number | 1881786127 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 01/13/2022 |
Medicare PECOS PAC ID | 8022014331 |
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Medicare Enrollment ID | O20061010000438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881786127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0092632 (Florida) | Primary |
Provider Name | Jose R Mole |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629092283 PECOS PAC ID: 7214941863 Enrollment ID: I20060202000658 |
Provider Name | Sergio Collazo |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1619531027 PECOS PAC ID: 8426388448 Enrollment ID: I20190918000281 |
Provider Name | Andrea Mole |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508479841 PECOS PAC ID: 5092135616 Enrollment ID: I20201021001319 |
Provider Name | Lisett Mole |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356802243 PECOS PAC ID: 2769865955 Enrollment ID: I20220822001058 |
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