Individual
MRS. CAROLINA CELESTE MELCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
335 S KROME AVENUE, SUITE 104, FLORIDA CITY, FL 33034
(305) 242-8122
(305) 242-8837
Mailing address
335 S KROME AVENUE, SUITE 104, FLORIDA CITY, FL 33034
(305) 242-8122
(305) 242-8837
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13338
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010054900
—
FL
Enumeration date
07/11/2011
Last updated
07/24/2020
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