Look up the most recent NPI and PECOS records

Sean Molloy

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Sean Molloy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1508358847
Provider Type
Individual
Full Name
Molloy, Sean
Title
Dr.
Credential
DNP

Gender
Male
Sole Proprietor
No
Enumeration Date
6/2/2018
Last Updated
10/5/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9387871 Florida

Sean Molloy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Perrin, Angela Hartman

Cuthbert, Kristin

Dehr, Lindsay Mychael

Mutz, Elizabeth Gatch

Laroche, Kaley A

Goolsby-Zak, Ashley Michele

Clark, Brooke L

Spicer, Lakesha Nichole

Weinert, Danielle Suzanne

Torres, Lisa