MR. MIRATUS LOUIS MOLINE (NPI# 1124458963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124458963 |
| Entity Type | Individual |
| Full Name | MR. MIRATUS LOUIS MOLINE |
| Credential | ARNP |
| Practice Address |
5258 Linton Blvd # G1 Delray Beach FL 33484-6540 |
| Mailing Address |
6326 Harbour Oak Dr Lake Worth FL 33467-6840 |
| Practice Telephone | 5613304695 |
| Practice Fax Number | 5613304696 |
| Mailing Telephone | 2396412050 |
| Mailing Fax Number | 5613304696 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9251699 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BOARD OF NURSING | ARNP9251699 | 01 |
| Street Address |
5258 LINTON BLVD # G1 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-6540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851664247 | Tracey Lynn Cursons | Nurse Practitioner | Delray Medical Center, 5352 Linton Blvd., Delray Beach, FL 33484-6514 | 2012-02-15 |
| 1548273238 | Kathleen Ann Malcolm Bouza | Nurse Practitioner | 5258 Linton Blvd #106, Delray Beach, FL 33484 | 2006-08-14 |
| 1700885449 | Christine Elizabeth Massengill | Nurse Practitioner | 16313 Military Trl, Delray Beach, FL 33484-6628 | 2005-07-15 |
| 1326685975 | Jennifer Lyne Harlacher | Nurse Practitioner | 6238 Atlantic Ave, Delray Beach, FL 33484-3501 | 2019-12-03 |
| 1386029452 | Hermide Placide | Nurse Practitioner | 15145 Michelangelo Blvd, 202, Delray Beach, FL 33446-6019 | 2015-07-29 |
| 1346675428 | Andrea J Shearer | Nurse Practitioner | 5258 Linton Blvd, Suite 301, Delray Beach, FL 33484-6540 | 2013-09-09 |
| 1871615799 | Jodie Lynn Rozin | Nurse Practitioner | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2007-04-03 |
| 1104947852 | Danielle Marie Marchante | Nurse Practitioner | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2007-04-02 |
| 1588785240 | Jennifer Lynn Pina | Nurse Practitioner | 5352 Linton Blvd, Delray Medical Center, Delray Beach, FL 33484-6514 | 2007-04-02 |
| 1194826271 | Heather L Gawron | Nurse Practitioner | 16244 Military Trl, Suite 560, Delray Beach, FL 33484-6534 | 2006-09-25 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
Please comment or provide details below to improve the information on MR. MIRATUS LOUIS MOLINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.