MEDICARE: MELANIE YVONNE SCAGGS DUENAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	13299	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417193699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE YVONNE SCAGGS DUENAS

Provider Business Mailing Address
First Line	:	2909 POST RD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-2415
Country	:	US
Telephone Number	:	859-200-4441
Fax Number	:

Provider Business Practice Location Address
First Line	:	7365 MERCHANT CT STE 3
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34240-8446
Country	:	US
Telephone Number	:	941-702-2035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2008
Last Update Date	:	04/20/2023

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