Healthcare Provider Details

I. General information

NPI: 1295987535
Provider Name (Legal Business Name): MELANIE ANNE DINARDO MED,EDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

759 SW FEDERAL HWY STE 312
STUART FL
34994-2923
US

IV. Provider business mailing address

3810 S KANNER HWY APT 1216
STUART FL
34994-4929
US

V. Phone/Fax

Practice location:
  • Phone: 352-213-8541
  • Fax:
Mailing address:
  • Phone: 352-213-8541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH17908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: