Active NPI
Molly Christine Avola, DC
- Chiropractor
- Maitland, FL
National Provider Identifier
1457857773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12454
- Practice address
- 171 S Orlando Ave Ste a
Maitland, FL 32751-5653 - Phone
- (312) 259-1113
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12454 | FL | Primary |
Addresses
Primary practice location
171 S Orlando Ave Ste a
Maitland, FL 32751-5653
Mailing address
171 S Orlando Ave Ste a
Maitland, FL 32751-5653
Phone (312) 259-1113
Other practice location 1
9906 W Linebaugh Ave
Tampa, FL 33626-1858
Phone (813) 510-3986
Other practice location 2
5736 Hamlin Groves Trl Bldg 2
Winter Garden, FL 34787-5781
Phone (407) 329-2244
Other names 1
- Ms. Molly Christine Letourneau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Chiro Rosado Maitland PLLC | Chiropractor | Current | Accepting new patients |
| 100 Chiro Rosado Winter Garden PLLC | Chiropractor | Past | Accepting new patients |
| 100 Percent Chiropractic Tampa 1, LLC | Chiropractor | Past | Accepting new patients |
Locations
171 S Orlando Ave
Ste A
Maitland, FL 32751
Phone (689) 206-0210
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.
-
- Chiropractor
- Maitland, FL
- NPI 1174248207
-
- Chiropractor
- Winter Garden, FL
- NPI 1972253664
-
- Chiropractor
- Tampa, FL
- NPI 1902235732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683936000000",
"number": "1457857773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 S ORLANDO AVE STE A",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515653",
"telephone_number": "312-259-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 S ORLANDO AVE STE A",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515653",
"telephone_number": "312-259-1113"
}
],
"practiceLocations": [
{
"address_1": "9906 W Linebaugh Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336261858",
"country_code": "US",
"telephone_number": "813-510-3986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5736 Hamlin Groves Trl Bldg 2",
"address_purpose": "LOCATION",
"city": "Winter Garden",
"state": "FL",
"postal_code": "347875781",
"country_code": "US",
"telephone_number": "407-329-2244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVOLA",
"first_name": "MOLLY",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2023-05-13",
"certification_date": "2023-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "LETOURNEAU",
"middle_name": "CHRISTINE",
"prefix": "MS.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.