Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 0059234 | FL |
NPI | 1174690986 |
---|---|
Provider Name | Dr. Melanie K Bone |
First Address | Atlantis, FL 33462-1149 |
Second Address | Atlantis, FL 33462-1149 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 21/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004424200 | (05) | FL |