Melissa Belle Dukes, LPTA
Individual provider Active NPI Specialist · Crawfordville, FL
NPI 1114214764 · NPPES record last updated Jul 5, 2011
Key facts
- NPI
- 1114214764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PTA20537 (FL)
- Practice address
- 1705 Dr Martin Luther King Jr Mem Rd
Crawfordville, FL 32327-3667 - Phone
- (850) 508-9936
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA20537 | FL | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PTA20537 | FL | Yes |
Addresses
Primary practice location
1705 Dr Martin Luther King Jr Mem Rd
Crawfordville, FL 32327-3667
Mailing address
1705 Dr Martin Luther King Jr Mem Rd
Crawfordville, FL 32327-3667
Phone (850) 508-9936
Other providers in Crawfordville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.