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Provider Information for 1063865608

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MELISSA BIBB ARNP

Gender: FEMALE

Individual NPI: 1063865608

Calendar   Last Updated:  2016-07-19
  Certification Date: 

Details

Name Value
NPI 1063865608
Enumeration Date 2016-07-19
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 9555 SEMINOLE BLVD SUITE 104
SEMINOLE, FL 33772-2562
United States

Phone: 727-395-1500 | Fax: 727-394-1505
View Map External Link
Primary Practice Address 9555 SEMINOLE BLVD SUITE 104
SEMINOLE, FL 33772-2562
United States

Phone: 727-395-1500 | Fax: 727-394-1505
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other LICENSE FL ARNP9400491
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL ARNP9400491