Individual
MRS. MONICA JEAN AMELUNGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSR
Contact information
Practice address
1071 PORT MALABAR BLVD NE STE 106, PALM BAY, FL 32905-5161
(407) 720-8887
Mailing address
726 MADELYN WAY APT 207, MELBOURNE, FL 32901-3282
(407) 448-0776
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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