Provider Demographics
NPI:1043808173
Name:MOLINA, NATALIE MARIE (MMS, PA-C)
Entity type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:MARIE
Last Name:MOLINA
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Gender:F
Credentials:MMS, PA-C
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Mailing Address - Street 1:10002 PRINCESS PALM AVE STE 332
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8327
Mailing Address - Country:US
Mailing Address - Phone:813-571-7184
Mailing Address - Fax:813-654-4695
Practice Address - Street 1:7425 MONIKA MANOR DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-5814
Practice Address - Country:US
Practice Address - Phone:813-879-8045
Practice Address - Fax:813-960-3299
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2022-12-28
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Provider Licenses
StateLicense IDTaxonomies
FLPA9116818363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical