Individual
EVELYN MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22530 ROYAL RIDGE CT, LUTZ, FL 33549-8779
(813) 948-7426
(813) 948-7426
Mailing address
22530 ROYAL RIDGE CT, LUTZ, FL 33549-8779
(813) 948-7426
(813) 948-7426
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
FL
Enumeration date
01/09/2008
Last updated
01/09/2008
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