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NPI Code Detail

MEDICARE: MELISSA SUANNE BUCHANAN APRN

MEDICARE: MELISSA SUANNE BUCHANAN 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 PractitionerAPRN9231963FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730465113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SUANNE BUCHANAN APRN
Provider Business Mailing Address
First Line : 1613 N MILLS AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1849
Country : US
Telephone Number : 407-894-4474
Fax Number : 407-894-7136
Provider Business Practice Location Address
First Line : 1613 N MILLS AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1849
Country : US
Telephone Number : 407-894-4474
Fax Number : 407-894-7136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2011
Last Update Date : 06/02/2026

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