Individual
MRS. DIANA F MELAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 532-6454
Mailing address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 532-6454
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS8859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266441100
—
FL
Enumeration date
09/13/2005
Last updated
03/17/2018
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