Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME103549 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME103549 | FL |
Y | 2082S0105X | Plastic Hand Surgeon | ME103549 | FL |
NPI | 1831340405 |
---|---|
Provider Name | Dr. Melissa M Boyette |
First Address | Palmetto, FL 34221-7122 |
Second Address | Bradenton, FL 34209-5525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2008 |
Last Update Date | 22/06/2016 |