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Individual
LARISA MELEKS
Active
Individual
LARISA MELEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10715566
CAQH
FL
01
—
49313
BCBS
FL
01
—
7993105
AETNA
FL
01
—
P00282509
RR MEDICARE
FL
Enumeration date
09/13/2006
Last updated
02/10/2020
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