Individual
MELISSA BETH DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 N 35TH AVE STE 490, HOLLYWOOD, FL 33021-5423
(954) 265-3437
(954) 265-3731
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME115552
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017314300
—
FL
Enumeration date
04/12/2010
Last updated
01/05/2022
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