Individual
MS. MELOINE BESSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
619 PRINCETON ST, BRANDON, FL 33511-7129
(813) 655-0822
(813) 681-1482
Mailing address
619 PRINCETON ST, BRANDON, FL 33511-7129
(813) 655-0822
(813) 681-1482
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 958091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16
—
FL
Enumeration date
02/21/2014
Last updated
02/21/2014
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