Walter Joseph Molak JR.
Chiropractic Sports Physician
6363 Taft Street, Suite 100
Hollywood
, Florida 33024-5959
Walter Joseph Molak JR.
Chiropractic Sports Physician
6363 Taft Street, Suite 100
Hollywood
, Florida 33024-5959
(954) 966-7472
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Walter Joseph Molak JR.
- 6363 Taft Street, Suite 100
- Hollywood, FL
- Zip : 33024-5959
- Fax : (954) 966-7472
- Phone : (954) 966-0007
Second Address
- Walter Joseph Molak JR.
- 6363 Taft Street, Suite 100
- Hollywood, FL
- Zip : 33024-5959
- Fax : (954) 966-7472
- Phone : (954) 966-0007
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | CH0001704 | FL |
National Provider Identifier
| NPI | 1215022678 |
|---|---|
| Provider Name | Walter Joseph Molak JR. |
| First Address | Hollywood, FL 33024-5959 |
| Second Address | Hollywood, FL 33024-5959 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CH0001704 | CHIROPRACTIC LIC. (01) | FL |
| T85826 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.