Provider Demographics
NPI:1386637916
Name:ASUNCION, MELISSA T (MD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:T
Last Name:ASUNCION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7258 SYLVAN GLADE CT
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34607-4002
Mailing Address - Country:US
Mailing Address - Phone:352-277-9287
Mailing Address - Fax:
Practice Address - Street 1:7258 SYLVAN GLADE CT
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34607-4002
Practice Address - Country:US
Practice Address - Phone:352-277-9287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87215207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268357100Medicaid
FLP00064106OtherRAILROAD MEDICARE
FLP00195077OtherRAILROAD MEDICARE
FL37638OtherBC/BS FLA
FLP00195077OtherRAILROAD MEDICARE
H96597Medicare UPIN
FL268357100Medicaid
FL37638OtherBC/BS FLA
FLU1628YMedicare PIN