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General NPI Number Information
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NPI Number | 1730135104
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Entity Type | Individual
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Provider Name | MELISSA C VERDE D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1385 W STATE ROAD 434 SUITE 103
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City | LONGWOOD
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State | FL
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Zip | 32750-6871
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Country | US
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Telephone | 407-332-6700
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Fax | 407-332-6266
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Provider Business Mailing Address
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Address Line | 1385 W STATE ROAD 434 SUITE 103
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City | LONGWOOD
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State | FL
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Zip | 32750-6871
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Country | US
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Telephone | 407-332-6700
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Fax | 407-332-6266
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PO2986
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License Number State | FL
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