Individual
KIMBERLY ANN MELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 N ALEXANDER ST, PLANT CITY, FL 33563-4303
(813) 757-1290
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2742832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303931500
—
FL
Enumeration date
03/08/2006
Last updated
11/29/2021
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