Melazzo, Diana F

Melazzo, Diana F is an sole proprietor health care provider with primary practice located at 1940 Harrison Ave , Panama City FL 32405-4542. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Melazzo, Diana F can be contacted via phone (850) 763-0017.

Contact Information

Primary practice address
1940 Harrison Ave Panama City FL 32405-4542
Fax: (850) 532-6454
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS8859 Florida

Profile Details

NPI number 1164417564
LBN Legal business name Melazzo, Diana F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Mar 17th, 2018 - about 7 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 1164417564 NPPES
Florida MEDICAID 266441100

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