Mcnally, Melissa Lee

Mcnally, Melissa Lee is an individual health care provider with primary practice located at 40100 Highway 27 , Davenport FL 33837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcnally, Melissa Lee can be contacted via phone (863) 422-4971.

Contact Information

Primary practice address
40100 Highway 27 Davenport FL 33837
Phone: (863) 422-4971
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102840 Florida

Profile Details

NPI number 1477521078
LBN Legal business name Mcnally, Melissa Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 6th, 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 1477521078 NPPES
Florida MEDICAID 2920972-00
Florida MEDICAID 103455013A

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