Healthcare Provider Details

I. General information

NPI: 1720444961
Provider Name (Legal Business Name): MELISSA PIAZZISI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US

IV. Provider business mailing address

10920 TECHNOLOGY TER
LAKEWOOD RANCH FL
34211-4930
US

V. Phone/Fax

Practice location:
  • Phone: 941-262-0400
  • Fax: 941-262-0410
Mailing address:
  • Phone: 941-757-4810
  • Fax: 941-757-4813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9292420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: