Organization
MYRIAD HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ALLEN APRN (NURSE PRACTITIONER)
(941) 202-2305
Entity
Organization
Contact information
Practice address
5460 63RD ST E UNIT B, BRADENTON, FL 34203-7808
(941) 202-2305
(941) 220-4688
Mailing address
5460 63RD ST E UNIT B, BRADENTON, FL 34203-7808
(217) 202-9606
(941) 220-4688
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
06/21/2023
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