Individual
MELISSA BRAUNER BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14171 METROPOLIS AVE STE 101, FORT MYERS, FL 33912-4335
(239) 320-8140
(239) 320-8141
Mailing address
14171 METROPOLIS AVE STE 101, FORT MYERS, FL 33912-4335
(239) 320-8140
(239) 320-8141
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
14007
ND
207RR0500X
Rheumatology Physician
Primary
ME148100
FL
Other
Enumeration date
06/15/2010
Last updated
03/24/2022
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