Individual
DR. MELITA ISLAMBASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
501 KNIGHTS RUN AVE, APT 2112, TAMPA, FL 33602-5938
(239) 989-4269
Mailing address
501 KNIGHTS RUN AVE, APT 2112, TAMPA, FL 33602-5938
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18058
FL
Other
Enumeration date
06/04/2006
Last updated
05/25/2016
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