| NPI | 1083063176 |
|---|---|
| Former Legal Business Name | MELISSA VILARDEBO, MD, PA |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN FICKEY CEO 813-662-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME96297) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |