Healthcare Provider Details

I. General information

NPI: 1386637916
Provider Name (Legal Business Name): MELISSA T ASUNCION MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7258 SYLVAN GLADE CT
WEEKI WACHEE FL
34607-4002
US

IV. Provider business mailing address

7258 SYLVAN GLADE CT
WEEKI WACHEE FL
34607-4002
US

V. Phone/Fax

Practice location:
  • Phone: 352-277-9287
  • Fax:
Mailing address:
  • Phone: 352-277-9287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME87215
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: