Provider Demographics
NPI:1588853576
Name:MULLER, MARIA ALEXANDRA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ALEXANDRA
Last Name:MULLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ALEXANDRA
Other - Last Name:MELO HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:790 VETERANS WAY
Mailing Address - Street 2:JOINT AMBULATORY CARE CENTER
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-1000
Mailing Address - Country:US
Mailing Address - Phone:850-912-2000
Mailing Address - Fax:850-912-2438
Practice Address - Street 1:790 VETERANS WAY
Practice Address - Street 2:JOINT AMBULATORY CARE CENTER
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507-1000
Practice Address - Country:US
Practice Address - Phone:850-912-2000
Practice Address - Fax:850-912-2438
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108348208100000X
FLTRN10471390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program