Individual
MELISSA RACOBALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 259-8772
Mailing address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z07M1
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/21/2015
Last updated
11/16/2015
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