Dr. Rafael O. Mollega , Jr. Of Northwest Florida, INC
Optometrist in Destin, FL. Organization (NPI-2).
NPI number1972625721
StatusActive
Last updated in NPPESFeb 23, 2010
Details
- NPI
- 1972625721
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Rafael O. Mollega , Jr. Of Northwest Florida, INC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2007
- Last updated
- Feb 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Mollega Eye Care & Optique (Doing Business As)
Practice location
12671 Us Hwy 98 WSte 216
Destin, FL 32550
Phone 850-269-3937 · Fax 850-269-1988
Mailing address
12671 Us Hwy 98 WSte 216
Destin, FL 32550
Phone 850-269-3937 · Fax 850-269-1988
Authorized official
Christina M Nelson
Bookkeeper/Insurance Personnel
8502693937
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