Provider Demographics
NPI:1326497942
Name:MOLINA, LINNETT MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:LINNETT
Middle Name:MARIE
Last Name:MOLINA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3418
Mailing Address - Country:US
Mailing Address - Phone:305-643-1010
Mailing Address - Fax:305-644-0845
Practice Address - Street 1:1353 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2970
Practice Address - Country:US
Practice Address - Phone:305-854-2388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-04
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC0055207152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist