Individual
MISS MELISSA ANN WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
2310 S DIXIE HWY, MIAMI, FL 33133-2314
(786) 496-9444
Mailing address
2310 S DIXIE HWY, MIAMI, FL 33133-2314
(786) 496-9444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
FL
363AM0700X
Medical Physician Assistant
Primary
9109994
FL
363AM0700X
Medical Physician Assistant
Primary
PA9109994
FL
363AS0400X
Surgical Physician Assistant
PA9109994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019352500
—
FL
Enumeration date
10/07/2016
Last updated
02/03/2026
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