Individual
MELODIE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9948 GROVE DR, NEW PORT RICHEY, FL 34654-3403
(727) 869-4801
(727) 862-2703
Mailing address
9948 GROVE DR, NEW PORT RICHEY, FL 34654-3403
(727) 869-4801
(727) 862-2703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM002250
FL
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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