Individual
MELISSA FLORIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6384
(309) 655-7732
Mailing address
221 NE GLEN OAK AVENUE, PEORIA, IL 61637-0001
(309) 672-4147
(309) 672-5772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036153396
IL
208M00000X
Hospitalist Physician
Primary
036153396
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
09/16/2020
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