Healthcare Provider Details

I. General information

NPI: 1346002318
Provider Name (Legal Business Name): MELISSA MARIE SANDERS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CELEBRATION PL STE A110
CELEBRATION FL
34747-4970
US

IV. Provider business mailing address

400 CELEBRATION PL STE A110
CELEBRATION FL
34747-4970
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-4639
  • Fax:
Mailing address:
  • Phone: 407-303-4639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70778
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: