| Molina Medical Group Of Florida | |
|
3514 Broadway Riviera Beach FL 33404-2332 | |
| (561) 223-4573 | |
| (877) 860-2271 |
| Full Name | Molina Medical Group Of Florida |
|---|---|
| Speciality | Family Medicine |
| Location | 3514 Broadway, Riviera Beach, Florida |
| Authorized Official Name and Position | Gloria Calderon (VICE PRESIDENT, CLINIC OPERATIONS) |
| Authorized Official Contact | 5624917053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Medical Group Of Florida 200 Oceangate Suite 100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Medical Group Of Florida 3514 Broadway Riviera Beach FL 33404-2332 Ph: (561) 223-4573 |
| NPI Number | 1366888638 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366888638 | NPI | - | NPPES |
| 007624801-EF12/21/12 | Medicaid | FL | |
| DV3514- EFF 5/27/13 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 208000000X | Pediatrics | (California) | Secondary |
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