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MRS. MELINDA LEE GAITANIS MA55295
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1104064864
Individual Registrant:MRS. MELINDA LEE GAITANIS MA55295
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
490 E HATHAWAY AVE BRONSON, FL 32621-6736 US
Tel: 352-486-6899 Fax: 352-486-2974
Tel: 352-486-6899 Fax: 352-486-2974
Contact information for business:
491 N HATHAWAY AVE BRONSON, FL 32621-6122 US
Tel: 352-281-9651 Fax: 352-486-2974
Tel: 352-281-9651 Fax: 352-486-2974
Registration Information:
NPI: 1104064864
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | FL | MA55295 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
