Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | OS15486 | FL |
NPI | 1013327808 |
---|---|
Provider Name | Melissa Marie Fujan |
First Address | Bakersfield, CA 93306 |
Second Address | North Miami, FL 33181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2014 |
Last Update Date | 09/08/2018 |