Koliha, Melissa D

Koliha, Melissa D is an individual health care provider with primary practice located at 1345 W Bay Dr Ste 301 , Largo FL 33770-2264. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Koliha, Melissa D can be contacted via phone (727) 587-7111.

Contact Information

Primary practice address
1345 W Bay Dr Ste 301 Largo FL 33770-2264
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 9103235 Florida

Profile Details

NPI number 1508920026
LBN Legal business name Koliha, Melissa D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Feb 9th, 2022 - about 3 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 1508920026 NPPES
Florida Other Y06T0 BLUE CROSS AND BLUE SHIELD
Florida MEDICAID 292778100 BLUE CROSS AND BLUE SHIELD

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