| Doctor Name: | ROSA JACKELINE MOLJO |
| NPI Number: | 1356436505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | OS0007261 |
| Business Practice Address: | 7390 Nw 5th St Suite 3 Plantation, FL - 333171610 |
| Business Phone Number: | 9544249300 |
| Business Fax Number: | 9544243315 |
| Mailing Address: | 9411 Sw 6th St, PEMBROKE PINES |
| State: | FL |
| Postal Code: | 330251155 |
| Phone Number: | 9544506483 |
| Fax Number: | 9544506483 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 12/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS0007261 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |