Individual
MELANNIE BANNERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 NW 7TH AVE STE 300, MIAMI, FL 33136-1112
(305) 902-6347
Mailing address
1951 NW 7TH AVE STE 300, MIAMI, FL 33136-1112
(305) 902-6347
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
10/08/2020
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