Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME84554 | FL |
N | 111NI0900X | Internist | ME84554 | FL |
Y | 207RH0000X | Hematologist | ME84554 | FL |
NPI | 1184656746 |
---|---|
Provider Name | Melissa Alsina |
First Address | Orlando, FL 32891-7770 |
Second Address | Tampa, FL 33612-9416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 06/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259652100 | (05) | FL |
51565 | BLUE CROSS BLUE SHIELD (01) | FL |
G33701 | (02) | FL |