Individual
ANGELICA MELILLO KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1330 N BECKLEY AVE, DALLAS, TX 75203-1271
(214) 941-7200
Mailing address
600 NE 36TH ST APT 1409, MIAMI, FL 33137-3938
(347) 880-0646
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
S4798
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/30/2016
Last updated
08/07/2020
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