Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | ME135238 | FL |
NPI | 1467832063 |
---|---|
Provider Name | Melissa Ann Cardenas-Morales |
First Address | Pembroke Pines, FL 33027-1706 |
Second Address | Pembroke Pines, FL 33027-1706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2015 |
Last Update Date | 05/05/2021 |