MEDICARE: MRS. MELISSA ANN KACI KOLENDA D.C.

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
1	111N00000X	Chiropractor	CH9835	FL

General Provider Information

NPI Number	:	1982932257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA ANN KACI KOLENDA D.C.

Provider Business Mailing Address
First Line	:	2901 BUSCH LAKE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1860
Country	:	US
Telephone Number	:	813-936-7979
Fax Number	:	813-936-1600

Provider Business Practice Location Address
First Line	:	2901 BUSCH LAKE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1860
Country	:	US
Telephone Number	:	813-936-7979
Fax Number	:	813-936-1600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2009
Last Update Date	:	06/10/2011

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