Provider Demographics
NPI:1275095051
Name:MORLOTE TRIANA, MELISSA (PA)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:MORLOTE TRIANA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:5550 S UNIVERSITY DR APT 7205
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5339
Mailing Address - Country:US
Mailing Address - Phone:786-366-2808
Mailing Address - Fax:
Practice Address - Street 1:12205 COUNTY LINE RD STE D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-7720
Practice Address - Country:US
Practice Address - Phone:938-227-6307
Practice Address - Fax:938-227-6318
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-03-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant