Provider Information for 1225810476
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MELODIE PLAISE
Sex: Female
NPI: 1225810476
Last Updated: 2023-10-20
Certification Date: 2023-10-20
Certification Date: 2023-10-20
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1225810476 | ||||||||||||
| Enumeration Date | 2023-10-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1150 NW 72ND AVE STE 455 MIAMI, FL 33126-1947 United States Phone: 561-412-5151 | Fax: | ||||||||||||
| Primary Practice Address | 1150 NW 72ND AVE STE 455 MIAMI, FL 33126-1947 United States Phone: 561-412-5151 | Fax: | ||||||||||||
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