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NPI Code Detail

MEDICARE: MELISSA CASE APRN

MEDICARE: MELISSA CASE APRN
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
1363LF0000XFamily Nurse PractitionerARNP9320089FL

General Provider Information

NPI Number : 1316424153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA CASE APRN
Provider Business Mailing Address
First Line : 12929 WHITE BLUFF RD
Second Line :
City : HUDSON
State : FL
Zip : 34669-5054
Country : US
Telephone Number : 813-956-8818
Fax Number :
Provider Business Practice Location Address
First Line : 100 S ASHLEY DR STE 600
Second Line :
City : TAMPA
State : FL
Zip : 33602-5300
Country : US
Telephone Number : 813-956-8818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 07/28/2022

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