Individual
MELISSA DAWN KIVITZ-KRANTZOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 661-3723
Mailing address
10246 65TH RD, FOREST HILLS, NY 11375-1741
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
268749-1
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME128435
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME128435
MEDICAL LICENSE
FL
Enumeration date
05/21/2010
Last updated
10/23/2018
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