Individual
MELISSA RACHEL SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
699 W COCOA BEACH CSWY STE 601, COCOA BEACH, FL 32931-3562
(321) 868-5833
(321) 868-5854
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 868-5833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11005369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109658200
—
FL
01
—
P9072
HF MA
FL
Enumeration date
12/12/2019
Last updated
05/09/2024
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