Individual
MELODY A INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
262 E MERRITT ISLAND CSWY STE 6, MERRITT ISLAND, FL 32952-3651
(321) 452-9053
(321) 459-5039
Mailing address
262 E MERRITT ISLAND CSWY STE 6, MERRITT ISLAND, FL 32952-3651
(321) 452-9053
(321) 459-5039
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
5323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396179800
NPI
FL
01
—
452474574
STATE
FL
Enumeration date
04/05/2019
Last updated
06/11/2019
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