Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | ME148769 | FL |
NPI | 1588059448 |
---|---|
Provider Name | Dr. Melissa Danielle Gans |
First Address | Miami, FL 33136-1013 |
Second Address | Miami, FL 33136-1013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 07/07/2021 |