Egan, Melanie Jean

Egan, Melanie Jean is an individual health care provider with primary practice located at 1150 N 35Th Ave Suite 440, Hollywood FL 33021-5424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Egan, Melanie Jean can be contacted via phone (954) 265-6356.

Contact Information

Primary practice address
1150 N 35Th Ave Suite 440 Hollywood FL 33021-5424
Fax: (954) 985-5154
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN3026662 Florida

Profile Details

NPI number 1265545339
LBN Legal business name Egan, Melanie Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 20th, 2023 - about last year

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 1265545339 NPPES
Florida MEDICAID 3077610500

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