Individual provider · Type 1 NPI
Fred Moline
Psychiatric/Mental Health Nurse Practitioner · Tampa, FL
NPI number
1649971334
Active
Practice location
5510 N Hesperides St
Tampa, FL 33614-5414
Mailing address
200 S Andrews Ave Ste 504
Fort Lauderdale, FL 33301-2066
Other practice locations
- 450 NE 160th Ter, North Miami Beach, FL 33162-4339 · (305) 927-6073
- 975 Arthur Godfrey Rd, Miami Beach, FL 33140-3329 · (305) 490-1989
- 200 S Andrews Ave Ste 504, Fort Lauderdale, FL 33301-2066 · (754) 330-3969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11025185 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1649971334
Fred Moline's National Provider Identifier is 1649971334, issued on Mar 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tampa, FL. The record was last updated on Jun 24, 2026.