Individual
MELLISSA MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8132 HUDSON AVE, HUDSON, FL 34667-8571
(727) 863-3100
Mailing address
4914 IVY GLEN PL, LAND O LAKES, FL 34639-6149
(727) 452-5065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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