Andrea Nicole Molina

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

711 E Altamonte Dr Ste 200
Altamonte Springs, FL 32701-4824

Phone

(407) 303-5465

Fax

(407) 303-5467

NPI assigned

Jul 13, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912429713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E ALTAMONTE DR STE 200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014824",
            "telephone_number": "407-303-5465",
            "fax_number": "407-303-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E ALTAMONTE DR STE 200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014824",
            "telephone_number": "407-303-5465",
            "fax_number": "407-303-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA59579",
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Phlebotomy Professionals LLC
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• Usha Mohandas, M.D.
• Rolph Moleus, CAA
• Ruben Moliere, NURSE PRACTITIONER
• Brandon Molligoda
• Sambit Mondal, MD
• Tara Monesmith, LMT
• Christine Monir
• Jennifer Monje

• Clinical Exercise Physiologist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Clinical Exercise Physiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.