Individual
ELAINE MELISSA AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5112 N HABANA AVE, TAMPA, FL 33614-6873
(813) 374-2406
(813) 374-2407
Mailing address
5112 N HABANA AVE, TAMPA, FL 33614-6873
(813) 374-2406
(813) 374-2407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72972
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101649
—
WI
Enumeration date
04/18/2017
Last updated
06/28/2024
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