Healthcare Provider Details

I. General information

NPI: 1043143548
Provider Name (Legal Business Name): ELIZABETH MELENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 50TH AVE NE
NAPLES FL
34120-0423
US

IV. Provider business mailing address

3725 50TH AVE NE
NAPLES FL
34120-0423
US

V. Phone/Fax

Practice location:
  • Phone: 239-789-0043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number4672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: