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NPI Code Detail

MEDICARE: MRS. MELISSA AVELAR

MEDICARE: MRS. MELISSA AVELAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1306570965
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA AVELAR
Provider Business Mailing Address
First Line : 858 BAYOU VIEW DR
Second Line :
City : BRANDON
State : FL
Zip : 33510-2018
Country : US
Telephone Number : 813-775-5447
Fax Number :
Provider Business Practice Location Address
First Line : 106 W JERSEY AVE
Second Line :
City : BRANDON
State : FL
Zip : 33510-3130
Country : US
Telephone Number : 813-661-3313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 07/11/2022

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Directions to “ MRS. MELISSA AVELAR ” Practice Location

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