Individual
MELISSA MARIE FASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(395) 674-2121
Mailing address
4300 ALTON RD STE 2070, MIAMI BEACH, FL 33140-2948
(305) 674-2690
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11001037
FL
Other
Enumeration date
06/17/2019
Last updated
02/03/2021
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