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1396275160
MELISSA JO SMITH
MELBOURNE, FL
NPI
1396275160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9247035)
Enumeration Date
2017-06-14
Last Update Date
2020-03-18
Business Address
MELISSA JO SMITH APRN
1223 GATEWAY DR STE 1B
MELBOURNE, FL 32901
Phone number: 321-312-3327
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Mailing Address
MELISSA JO SMITH APRN
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 321-312-3327
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