Individual
MELISSA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6695
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9624751
FL
Other
Enumeration date
06/20/2024
Last updated
06/22/2024
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