Joseph Molina MD Professional Assoc. FL

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME114917 Issued in FL

Legal business name

JOSEPH MOLINA MD PROFESSIONAL ASSOC. FL

Doing business as

Molina West Palm Beach

Practice address

944 S Military TRL
West Palm Beach, FL 33415-3910

Phone

(561) 223-4081

NPI assigned

May 3, 2016

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Molina West Palm Beach Doing business as

Tax ID family

Joseph Molina MD Professional Assoc FL2 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Joseph Molina MD Professional Assoc. FL

  • Non-Pharmacy Dispensing Site
  • Riviera Beach, FL
  • NPI 1811342389
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1275988743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 S MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334153910",
            "telephone_number": "561-223-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MOLINA MD PROFESSIONAL ASSOC. FL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME114917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molina West Palm Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmanuel Jose
• Joseph L Morse Health Center, Inc.
• Joseph L Morse Health Center, Inc.
• Joseph L Morse Health Center, Inc.
• Joseph M Molina MD Professional Association - Florida
• Joseph Taylor DC PA
• Joseph V Dangelo M D P a
• Delsa Joseph
• Euvenagne Joseph
• Geralda Joseph

• Non-Pharmacy Dispensing Site in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.