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Individual

MATTHEW MELGUIZOVSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4651 SHERIDAN ST STE 350, HOLLYWOOD, FL 33021-3425
(954) 276-8559
(954) 966-9762
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11023141
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116711700
FL
Enumeration date
12/08/2022
Last updated
03/13/2024
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