Individual
MELANIE KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 WOLFSKILL PL, RIVERVIEW, FL 33578-3661
(727) 410-8676
Mailing address
2112 WOLFSKILL PL, RIVERVIEW, FL 33578-3661
(727) 410-8676
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
STUDENT
FL
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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