Provider Demographics
NPI:1467538611
Name:MOLINARI, JOSEPH F (OD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:F
Last Name:MOLINARI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 ST JAMES CT
Mailing Address - Street 2:TALLAHASSEE OUT PATIENT CLINIC
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-878-0191
Mailing Address - Fax:850-878-8900
Practice Address - Street 1:1607 ST JAMES CT
Practice Address - Street 2:TALLAHASSEE OUT PATIENT CLINIC
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-878-0191
Practice Address - Fax:850-878-8900
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL1295152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist