Agbunag, Melody S
Agbunag, Melody S is an sole proprietor health care provider with primary practice located at 2634 Capital Cir Ne , Tallahassee FL 32308-4106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Agbunag, Melody S can be contacted via phone (850) 523-3333.Contact Information
Primary practice address
2634 Capital Cir Ne
Tallahassee FL 32308-4106
Phone: (850) 523-3333
Fax: (850) 523-3411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME42069 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | M342069 | Florida |
Profile Details
| NPI number | 1467558593 |
|---|---|
| LBN Legal business name | Agbunag, Melody S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Feb 19th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467558593 | NPPES |
| Florida | MEDICAID | 062060200 |
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