Individual
MELISSA MATZUMURA KUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2441 SURFSIDE BLVD STE 106, CAPE CORAL, FL 33914-3861
(239) 424-1687
(239) 343-4186
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1687
(239) 343-4186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301101017
MI
207RR0500X
Rheumatology Physician
Primary
ME156758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114202000
—
FL
Enumeration date
07/07/2012
Last updated
07/22/2024
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