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MRS. MELINDA LEE GAITANIS MA55295

>> Specialist >> Other Service Providers

Registrant NPI Number: 1104064864

Individual Registrant:
MRS. MELINDA LEE GAITANIS MA55295
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

Contact information for business:
491 N HATHAWAY AVE  BRONSON, FL 32621-6122 US
Tel: 352-281-9651  Fax: 352-486-2974

Registration Information:
NPI: 1104064864
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
FLMA55295

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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