Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | ARNP2915492 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP2915492 | FL |
NPI | 1427235399 |
---|---|
Provider Name | Lolita Winifred Melhado |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33905-7810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 13/05/2015 |