Individual
MELANIE DAVIS WEATHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1714 52ND TER SW, NAPLES, FL 34116-5652
(239) 352-6629
(239) 455-7757
Mailing address
1714 52ND TER SW, NAPLES, FL 34116-5652
(239) 352-6629
(239) 455-7757
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
004211600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004211600
—
FL
Enumeration date
05/03/2013
Last updated
05/03/2013
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