Provider Demographics
NPI:1629187869
Name:MOLAS, FELIX T (CRNA)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:T
Last Name:MOLAS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2168 EGRET DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6680
Mailing Address - Country:US
Mailing Address - Phone:727-430-0633
Mailing Address - Fax:727-443-4206
Practice Address - Street 1:2168 EGRET DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6680
Practice Address - Country:US
Practice Address - Phone:727-430-0633
Practice Address - Fax:727-443-4206
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2200422367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304296100Medicaid
FL304296100Medicaid