Individual
MELISSA MARIE PETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0077
Mailing address
1600 SW ARCHER RD RM 2042, GAINESVILLE, FL 32610-3003
(352) 265-0077
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
92380
SC
207L00000X
Anesthesiology Physician
Primary
ME161655
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
MEDICAL STUDENT
—
Enumeration date
04/08/2019
Last updated
07/22/2024
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