Provider Demographics
NPI:1336145234
Name:MOLL, FRANCIS K III (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:K
Last Name:MOLL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6280 W SAMPLE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3173
Mailing Address - Country:US
Mailing Address - Phone:954-481-9942
Mailing Address - Fax:954-481-9917
Practice Address - Street 1:6280 W SAMPLE RD STE 203
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-3173
Practice Address - Country:US
Practice Address - Phone:954-481-9942
Practice Address - Fax:954-481-9917
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74586207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254166100Medicaid
FL258318600Medicaid
FL254166100Medicaid
FL21550Medicare PIN
FL258318600Medicaid
FL43388YMedicare PIN