| Doctor Name: | MOLLY MARIE HEINRICH |
| NPI Number: | 1245267657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 5601004759 |
| Business Practice Address: | 606 Bald Eagle Dr Ste. 302 Marco Island, FL - 341452768 |
| Business Phone Number: | 2393932000 |
| Business Fax Number: | 2393932201 |
| Mailing Address: | 3434 Hancock Bridge Pkwy, Ste. 301 NORTH FORT MYERS |
| State: | FL |
| Postal Code: | 339037094 |
| Phone Number: | 8778563774 |
| Fax Number: | 2395992625 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 5601004759 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |