Dr. Rafael O. Mollega , Jr. of Northwest Florida, INC

NPI #1972625721 in Destin, Florida

Provider Information

NPI Number: 1972625721
Entity Type: Organization
Organization Name: Dr. Rafael O. Mollega , Jr. of Northwest Florida, INC
Primary Specialty: Optometrist
Enumeration Date: Apr 4, 2007
Last Updated: Feb 23, 2010

Practice Location

Address: 12671 US HWY 98 W
Address 2: STE 216
City: Destin
State: Florida
ZIP Code: 32550
Phone: (850) 269-3937

Authorized Official

Name: MRS. CHRISTINA M NELSON
Title: BOOKKEEPER/INSURANCE PERSONNEL
Phone: (850) 269-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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