Individual
LIZA M MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD, SUITE 105, PORT SAINT LUCIE, FL 34986-3443
(772) 336-2818
(772) 336-5313
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(772) 336-2818
(772) 336-5313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME126322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016658800
—
FL
Enumeration date
11/28/2007
Last updated
11/03/2020
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