Healthcare Provider Details

I. General information

NPI: 1679496806
Provider Name (Legal Business Name): MELISSA L SEEVERS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MALABAR RD SE
PALM BAY FL
32907-3040
US

IV. Provider business mailing address

836 GREENLEAF CIR
VERO BEACH FL
32960-3215
US

V. Phone/Fax

Practice location:
  • Phone: 321-733-3340
  • Fax:
Mailing address:
  • Phone: 321-544-6431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049006
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: