Provider Demographics
NPI:1891759247
Name:MOLINET MOLINA, MARGIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGIE
Middle Name:
Last Name:MOLINET MOLINA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11520 SW 69TH CT
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4734
Mailing Address - Country:US
Mailing Address - Phone:305-669-2549
Mailing Address - Fax:877-579-7427
Practice Address - Street 1:11520 SW 69TH CT
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-4734
Practice Address - Country:US
Practice Address - Phone:305-669-2549
Practice Address - Fax:877-579-7427
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7041103T00000X, 103TB0200X, 103TC1900X, 103TC2200X, 103TM1800X, 103TC0700X, 103G00000X
FLSS412103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300201OtherAVMED
FL73582OtherBCBS
FL650742588OtherINSURANCE CARRIERS
FL01126556OtherAMERIGROUP
FLZ4070Medicare UPIN