Individual
MELINA GABRIELA MARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 821-8038
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111588500
—
FL
01
—
Y911W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/26/2016
Last updated
10/21/2021
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