Individual provider · Type 1 NPI
Melissa Devincentis
Medical Physician Assistant · Fort Lauderdale, FL
NPI number
1154967115
Active
Practice location
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Mailing address
2101 NE 56th Ct
Fort Lauderdale, FL 33308-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1154967115
Melissa Devincentis's National Provider Identifier is 1154967115, issued on Nov 25, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 2, 2021.