Provider Demographics
NPI:1992713127
Name:MOLINA, CLAUDIA MARCELA (MD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MARCELA
Last Name:MOLINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:800-480-5243
Mailing Address - Fax:
Practice Address - Street 1:425 W 19TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4659
Practice Address - Country:US
Practice Address - Phone:850-344-1433
Practice Address - Fax:850-344-1436
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 94241207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020709700Medicaid
FL56658OtherFLORIDA BLUE
FL276797000Medicaid
FLAF614ZMedicare PIN