Individual
MELISSA FUNDORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3661 S MIAMI AVE STE 503, MIAMI, FL 33133-4200
(786) 955-7054
Mailing address
8199 W 36TH AVE APT 1, HIALEAH GARDENS, FL 33018-1851
(786) 955-7054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9567915
FL
363LF0000X
Family Nurse Practitioner
11036683
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11036683
FL
Other
Enumeration date
06/17/2024
Last updated
05/14/2026
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