Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME126329 | FL |
N | 208600000X | Surgeon | ME126329 | FL |
N | 2086S0120X | Pediatric Surgery | 5943 | SD |
N | 2086S0120X | Pediatric Surgery | MD061811L | PA |
Y | 2086S0120X | Pediatric Surgery | ME126329 | FL |
NPI | 1124093919 |
---|---|
Provider Name | Dr. Adela T. Casas-Melley |
First Address | Rockland, DE 19732-0191 |
Second Address | Orlando, FL 32827-7402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 09/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016417000 | (05) | FL |
H05718 | (02) |