Provider Demographics
NPI:1376694778
Name:MAKAR, MELANIE (ARNP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:MAKAR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10491 6 MILE CYPRESS PKWY STE 271
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-6518
Mailing Address - Country:US
Mailing Address - Phone:239-215-3500
Mailing Address - Fax:239-215-3525
Practice Address - Street 1:10491 6 MILE CYPRESS PKWY STE 271
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-6518
Practice Address - Country:US
Practice Address - Phone:239-215-3500
Practice Address - Fax:239-215-3525
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1241712363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS93550Medicare UPIN