Doctor Name: | MELISSA BELARDO |
NPI Number: | 1174902811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ARNP9269125 |
Business Practice Address: | 400 Celebration Pl Ste A360 Celebration, FL - 347474970 |
Business Phone Number: | 4073034829 |
Business Fax Number: | |
Mailing Address: | 400 Celebration Pl Ste A360, CELEBRATION |
State: | FL |
Postal Code: | 347474970 |
Phone Number: | 4073034829 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2015 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9269125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |