Individual
MS. MELANIE DAWN ALTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15901 BASS RD STE 100, FORT MYERS, FL 33908
(239) 343-6100
(239) 343-9925
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1449
(239) 424-1423
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101243301
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME133006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022295100
—
FL
Enumeration date
06/18/2007
Last updated
07/31/2018
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