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MRS. MELISSA SHINELLE ANTOINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
651 W WARREN AVE STE 100, LONGWOOD, FL 32750-4036
(321) 999-6405
Mailing address
3949 CENTERVILLE WAY, SANFORD, FL 32771-9663
(757) 770-6265

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5255728
FL

Other

Enumeration date
05/17/2023
Last updated
05/17/2023
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