Individual
DR. MELINDA ROSKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
901 34TH AVE N UNIT 7441, ST PETERSBURG, FL 33734
(813) 563-3180
Mailing address
901 34TH AVE N UNIT 7441, ST PETERSBURG, FL 33734-8018
(813) 563-3180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0035410
TX
207RC0000X
Cardiovascular Disease Physician
124385
FL
207RC0000X
Cardiovascular Disease Physician
64146-020
WI
207RC0000X
Cardiovascular Disease Physician
Primary
OS11694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015427000F
—
FL
Enumeration date
05/14/2009
Last updated
01/18/2019
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