Organization
ANA M ELOSEGUI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA M ELOSEGUI M.D (PRESIDENT)
(305) 261-5454
Entity
Organization
Contact information
Practice address
85 GRAND CANAL DR, SUITE 310, MIAMI, FL 33144-2570
(305) 261-5454
(305) 261-5455
Mailing address
85 GRAND CANAL DR, SUITE 310, MIAMI, FL 33144-2570
(305) 261-5454
(305) 261-5455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 85963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 85963
LICENSE
FL
Enumeration date
07/22/2014
Last updated
07/29/2014
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