Individual
MELISSA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 DR MARTIN L KING ST N, APT.2404, ST PETERSBURG, FL 33716-2345
(207) 907-5035
Mailing address
11401 DR MARTIN L KING ST N, APT.2404, ST PETERSBURG, FL 33716-2345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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