Bacchus, Melissa Nadine

Bacchus, Melissa Nadine is an individual health care provider with primary practice located at 2484 Caring Way Unit F , Port Charlotte FL 33952-5306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bacchus, Melissa Nadine can be contacted via phone (941) 625-1999.

Contact Information

Primary practice address
2484 Caring Way Unit F Port Charlotte FL 33952-5306
Phone: (941) 625-1999
Fax: (941) 625-4600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME131001 Florida

Profile Details

NPI number 1467643957
LBN Legal business name Bacchus, Melissa Nadine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Jul 22nd, 2022 - 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 1467643957 NPPES
Florida MEDICAID 021310300
Florida Other 0RTMF
Florida Other JA235Z

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