Clinton, Melissa Marie

Clinton, Melissa Marie is an individual health care provider with primary practice located at 6901 Simmons Loop , Riverview FL 33578. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Clinton, Melissa Marie can be contacted via phone (813) 302-8070.

Contact Information

Primary practice address
6901 Simmons Loop Riverview FL 33578
Phone: (813) 302-8070
Fax: (813) 972-5055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104486 Florida

Profile Details

NPI number 1013194083
LBN Legal business name Clinton, Melissa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Nov 4th, 2019 - about 6 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 1013194083 NPPES
Florida MEDICAID 293023400
Florida Other Y04EQ
Florida Other P00865655

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