Aguirre, Melodey

Aguirre, Melodey is an sole proprietor health care provider with primary practice located at 3810 S Florida Ave Ste 120 , Lakeland FL 33813-1129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aguirre, Melodey can be contacted via phone (863) 858-8000.

Contact Information

Primary practice address
3810 S Florida Ave Ste 120 Lakeland FL 33813-1129
Phone: (863) 858-8000
Fax: (877) 531-4854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113616 Florida

Profile Details

NPI number 1609483619
LBN Legal business name Aguirre, Melodey
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2020
Last updated Nov 27th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609483619 NPPES
Florida Other PA9113616 PHYSICIAN ASSISTANT LICENSE

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