Provider Demographics
NPI:1063674919
Name:ANGLERO, MELISSA (DO)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:ANGLERO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 NE 137TH ST
Mailing Address - Street 2:APT 407
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-3775
Mailing Address - Country:US
Mailing Address - Phone:757-602-1099
Mailing Address - Fax:
Practice Address - Street 1:10067 PINES BLVD
Practice Address - Street 2:B
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6136
Practice Address - Country:US
Practice Address - Phone:954-430-7777
Practice Address - Fax:954-430-3667
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60256755207V00000X
FLOS13366207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology