Individual
MELISSA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SRNA
Contact information
Practice address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6695
(267) 980-4997
Mailing address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6695
(267) 980-4997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9624746
FL
Other
Enumeration date
06/21/2024
Last updated
06/24/2024
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