Individual
MS. MELISSA HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNMT, NCTMB, CMMMT
Contact information
Practice address
550 E STRAWBRIDGE AVE STE B, MELBOURNE, FL 32901-4905
(321) 951-3232
Mailing address
550 E STRAWBRIDGE AVE STE B, MELBOURNE, FL 32901-4905
(321) 951-3232
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA35011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1835
BLUE CROSS/BLUE SHIELD
FL
01
—
MA35011
STATE LICENSE
FL
Enumeration date
08/01/2006
Last updated
07/08/2007
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