Individual
MELINDA LEIGH BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(917) 400-2513
Mailing address
652 OAK ST, BOYNTON BEACH, FL 33435-2807
(917) 400-2513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MB10328200
NJ
207L00000X
Anesthesiology Physician
Primary
OS20217
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
08/01/2023
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