Individual
MELINDA ELAINE MICKLEWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCPS
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
0202006396
VA
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS 19469
FL
Other
Enumeration date
06/13/2006
Last updated
06/22/2012
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