Rosa Jackeline Moljo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0007261 Issued in FL

Practice address

7390 NW 5TH St
Suite 3
Plantation, FL 33317-1610

Phone

(954) 424-9300

Fax

(954) 424-3315

NPI assigned

Oct 4, 2006

Last updated

Dec 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Center of Pinellas Inc

  dba Evara Health

  • Federally Qualified Health Center (FQHC)
  • Clearwater, FL
  • NPI 1467873315

  Family Medicine

  Medicare reassignment NPD
• Community Health Centers of Pinellas Inc.

  dba Evara Health

  • Federally Qualified Health Center (FQHC)
  • St Petersburg, FL
  • NPI 1013669878

  Family Medicine

  NPD
• Community Health Centers of Pinellas Inc.

  dba Evara Health

  • Pharmacy
  • Clearwater, FL
  • NPI 1467273383
  NPD
• Broward Medical Associates of South Florida,Inc

  • General Practice Physician
  • Plantation, FL
  • NPI 1568619880
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1356436505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 SW 6TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251155",
            "telephone_number": "954-450-6483",
            "fax_number": "954-450-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 NW 5TH ST",
            "address_2": "SUITE 3",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171610",
            "telephone_number": "954-424-9300",
            "fax_number": "954-424-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLJO",
        "first_name": "ROSA",
        "middle_name": "JACKELINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007261",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS0007261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273371400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoaib Moinuddin
• Erica Stacy Moise
• Molina Inpatient Services Inc
• Carla C Molina, OTR/L
• Nadine E Molina
• Monarch Holistic & Wellness Services, LLC
• Mondesir
• Monica Mejia Acosta MD PLLC
• Monica Wojcik,M.a.,CCC-LSP,Inc
• Monika Srivastava DMD PA Plantation (Jacaranda Smiles Children's Dentistry and Orthodontics)

• Family Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.