Individual
MR. MARC EDWARD MELLIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-A
Contact information
Practice address
646 VIRGINIA STREET, 3RD FLOOR, DUNEDIN, FL 34698
(727) 450-0560
Mailing address
646 VIRGINIA STREET, 3RD FLOOR, DUNEDIN, FL 34698
(727) 450-0560
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY823
FL
Other
Enumeration date
02/07/2007
Last updated
03/09/2017
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