Individual
DR. CARMEN M ECHEVARRIA MELETICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13940 N US HIGHWAY 441 STE 102, LADY LAKE, FL 32159-8909
(352) 751-9900
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(800) 480-5243
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
16925
PR
208D00000X
General Practice Physician
Primary
ACN638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN638
FL MEDICAL LICENSE
FL
Enumeration date
12/04/2007
Last updated
11/06/2023
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