Devaughn, Melissa Kim

Devaughn, Melissa Kim is an individual health care provider with primary practice located at 1515 E Silver Springs Blvd #226, Ocala FL 34470-6831. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Devaughn, Melissa Kim can be contacted via phone (352) 547-1596.

Contact Information

Primary practice address
1515 E Silver Springs Blvd #226 Ocala FL 34470-6831
Phone: (352) 547-1596
Fax: (352) 336-1771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP2524142 Florida

Profile Details

NPI number 1689796518
LBN Legal business name Devaughn, Melissa Kim
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 9th, 2020 - about 6 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 1689796518 NPPES
Florida MEDICAID 303949800

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