Marlo Javier Molina Zamora, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Tampa, FL
NPI 1013570779 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1013570779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APRN11001411 (FL)
- Practice address
- 12902 Usf Magnolia Dr
Tampa, FL 33612-9416 - Phone
- (813) 745-4673
- Fax
- (813) 449-8618
- NPI assigned
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northstar Anesthesia of Florida LLC
H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer SCRN Ctr Inc
Sunshine State Anesthesia Partners LLC
Practice addresses (Care Compare)
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 688-8200
12900 Cortez Blvd
Suite 103
Brooksville, FL 34613-6897
Phone (352) 596-1145
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (888) 860-2778
17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (352) 796-5111
6500 38TH Ave N
St Petersburg, FL 33710-1629
Phone (727) 384-1414
Hospital & facility affiliations
- H Lee Moffitt Cancer Center & Research Institute I
- Tampa General Hospital Brooksville
- HCA Florida Largo Hospital
- HCA Florida Bayonet Point Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191106000620 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9436481785 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current |
Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current |
Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current |
Accepting new patients |
| Ams National LLC | Anesthesiology | Current |
Accepting new patients |
| Northstar Anesthesia of Florida LLC | Anesthesiology | Current |
Accepting new patients |
| H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc | Current |
Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145
6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753
6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11001411 | FL | Yes |
Addresses
Primary practice location
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Mailing address
PO Box 198441
Atlanta, GA 30384-8441
Phone (813) 745-4673
Other providers in Tampa, FL
- Stefanny Molina Mesa
- Rosibel Molina Perurena
- Viviana Mercedes Molina Ramirez
- Lazaro Molina Rodriguez
- Adianis Molina Ruiz de la Torre
- Aleida Jasmin Molina-Reza
- Alan Molina
- Dawn Ann Molina
- Julissa Molina
- Natalie Marie Molina
All providers in Tampa, FL · Certified Registered Nurse Anesthetist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.