Individual
MELISSA D CASSIADORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9194324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300808000
DOL ACS (FECA)
FL
05
—
305471300
—
FL
01
—
7670935
AETNA
FL
01
—
G3353
BCBS
FL
01
—
U0624Z
MEDICARE GTBA REASSIGNMENT
FL
Enumeration date
05/12/2006
Last updated
06/10/2008
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