Provider Demographics
NPI:1932332061
Name:HARMON, MELISSA L (DC)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:L
Last Name:HARMON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2426 BEE RIDGE RD STE C
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6350
Mailing Address - Country:US
Mailing Address - Phone:941-625-2667
Mailing Address - Fax:941-315-9922
Practice Address - Street 1:4535 TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-2930
Practice Address - Country:US
Practice Address - Phone:941-625-2667
Practice Address - Fax:941-315-9922
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor