Individual
MELISSA JEAN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD BOX 100296, GAINESVILLE, FL 32610-0001
(352) 627-9350
(352) 273-9054
Mailing address
1600 SW ARCHER RD BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
(352) 273-9054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME134265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023090200
—
FL
Enumeration date
05/07/2013
Last updated
12/14/2017
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