Individual
ANA M ELOSEGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 GRAND CANAL DRIVE, SUITE 310, MIAMI, FL 33144-2570
(305) 261-5454
(305) 261-5455
Mailing address
85 GRAND CANAL DRIVE, SUITE 310, MIAMI, FL 33144-2570
(305) 261-5454
(305) 261-5455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 85963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 85963
LICENSE
FL
Enumeration date
01/30/2006
Last updated
07/28/2014
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