Caballero, Melanie Jane

Caballero, Melanie Jane is an individual health care provider with primary practice located at 213 Nw Saint James Dr Ste 3, Port Saint Lucie FL 34983-1291. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Caballero, Melanie Jane can be contacted via phone (772) 446-4640.

Contact Information

Primary practice address
213 Nw Saint James Dr Ste 3 Port Saint Lucie FL 34983-1291
Phone: (772) 446-4640
Fax: (772) 446-4922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 794433 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9186595 Florida

Profile Details

NPI number 1659675569
LBN Legal business name Caballero, Melanie Jane
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2011
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659675569 NPPES
Florida Other Y0E45 BLUE CROSS BLUE SHIELD
Florida MEDICAID 008691400 BLUE CROSS BLUE SHIELD

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