Individual
MELISSA SHIRAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2903 CENTRUM PL, MELBOURNE, FL 32940-7355
(321) 831-6232
Mailing address
2903 CENTRUM PL, MELBOURNE, FL 32940-7355
(321) 831-6232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9561021
FL
174N00000X
Lactation Consultant (Non-RN)
Primary
L311641
FL
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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