Active NPI
Jose Enrique Molina Sr., P.A.
- Physician Assistant
- Saint Cloud, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100698
- Practice address
- 3100 17TH St Ste B
Saint Cloud, FL 34769-6021 - Phone
- (407) 908-7310
- Fax
- (844) 388-6186
- NPI assigned
- Apr 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100698 | FL | Primary |
Addresses
Primary practice location
3100 17TH St Ste B
Saint Cloud, FL 34769-6021
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439
Other practice location 1
5580 E Grant St
Orlando, FL 32822-1666
Phone (321) 235-6230 ext. 13
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
601 S Harbour Island Blvd
Suite 200
Tampa, FL 33602-5925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Family Practice-St Cloud, Inc. | Past | Accepting new patients | |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Locations
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
3100 17th St
Ste B
Saint Cloud, FL 34769
Phone (407) 892-0009
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jose.molina@sl.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Family Medicine Physician
- Saint Cloud, FL
- NPI 1336189190
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1407074099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "727-322-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 17TH ST STE B",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696021",
"telephone_number": "407-908-7310",
"fax_number": "844-388-6186"
}
],
"practiceLocations": [
{
"address_1": "5580 E Grant St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328221666",
"country_code": "US",
"telephone_number": "321-235-6230 x13",
"fax_number": "321-235-6246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLINA",
"first_name": "JOSE",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.