Provider Demographics
NPI:1659860955
Name:MOLINA, ADIELA (AP)
Entity type:Individual
Prefix:DR
First Name:ADIELA
Middle Name:
Last Name:MOLINA
Suffix:
Gender:F
Credentials:AP
Other - Prefix:MRS
Other - First Name:ADIELA
Other - Middle Name:
Other - Last Name:MOLINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AP
Mailing Address - Street 1:4555 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2311
Mailing Address - Country:US
Mailing Address - Phone:954-816-3146
Mailing Address - Fax:
Practice Address - Street 1:4555 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-2311
Practice Address - Country:US
Practice Address - Phone:954-816-3146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3060171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist