Provider Demographics
NPI:1134428337
Name:MOLNAR, GABOR PETER (DO)
Entity type:Individual
Prefix:
First Name:GABOR
Middle Name:PETER
Last Name:MOLNAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13920 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-4516
Mailing Address - Country:US
Mailing Address - Phone:727-252-4199
Mailing Address - Fax:
Practice Address - Street 1:12901 BRUCE B DOWNS BLVD
Practice Address - Street 2:MDC 41
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4742
Practice Address - Country:US
Practice Address - Phone:813-974-2805
Practice Address - Fax:813-974-2478
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS131942084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115481100Medicaid
FL1510FOtherBLUE CROSS BLUE SHIELD