Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | ME133490 | FL |
NPI | 1104956200 |
---|---|
Provider Name | Melanie J Vanamsterdam |
First Address | Stuart, FL 34995-0417 |
Second Address | Stuart, FL 34994-2346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 14/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101525500 | (05) | FL |
H14234 | (02) | NM |
IWWCV | FLORIDA BLUE (01) | FL |