# MELISSA M GUANCHE MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861939811
- **Authorized official:** DR. MELISSA GUANCHE MD (OWNER)
- **Authorized official phone:** (828) 551-3299

## Contact information

- **Practice address:** 5200 N OCEAN DR, APT 701, RIVIERA BEACH, FL 33404-2659
- **Practice address phone:** (828) 551-3299
- **Mailing address:** 5200 N OCEAN DR, APT 701, RIVIERA BEACH, FL 33404-2659
- **Mailing address phone:** (828) 551-3299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME126067 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2017
- **Last updated:** 01/30/2017