Melissa C Fontenot in Tallahassee - Physician Assistant
Melissa C Fontenot - NPI 1982777264
Melissa C Fontenot is a Physician Assistant in Tallahassee, Florida. Melissa C Fontenot practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Melissa C Fontenot is 1982777264. The last update date is 2020-02-12.
Melissa C Fontenot's current location address is 3334 Capital Medical Blvd. #400, Tallahassee, Florida. You can contact this provider via phone number 8508778174 and fax number 8442616839. The mailing address for Melissa C Fontenot is 3334 Capital Medical Blvd. #400, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa C Fontenot |
|---|---|
| Address | 3334 Capital Medical Blvd. #400, Tallahassee, Florida |
| Phone Number | 8508778174 |
| Fax Number | 8442616839 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1982777264 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2020-02-12 |
Provider Mailing Address Detail
| Address | 3334 Capital Medical Blvd. #400 |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 323084470 |
| Phone Number | 8508778174 |
| Fax Number | 8442616839 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9104437 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24969200 | FL | -- |
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What is the Melissa C Fontenot's unique identification number?
The Melissa C Fontenot has been assigned the NPI (National Provider Identifier) Number 1982777264 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Melissa C Fontenot's physical address?
The Melissa C Fontenot is physically located at 3334 Capital Medical Blvd. #400, in the city of Tallahassee, FL, with the postal code 323084470.
What is Melissa C Fontenot's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Melissa C Fontenot is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Melissa C Fontenot receive the assignment of its 1982777264 from the Centers for Medicare & Medicaid Services?
The Melissa C Fontenot was issued its 1982777264 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the Melissa C Fontenot's information last updated?
The Melissa C Fontenot's information was last updated on 2020-02-12.