Individual
MS. MELISSA JANE WORSFOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806
(407) 254-2500
(407) 423-2789
Mailing address
25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806-4476
(407) 254-2500
(407) 423-2789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110504
FL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022753800
—
FL
Enumeration date
09/14/2017
Last updated
09/18/2018
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