Provider Demographics
NPI:1053553198
Name:CADET, MELINA A (THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:MELINA
Middle Name:A
Last Name:CADET
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:MRS
Other - First Name:MELINA
Other - Middle Name:A
Other - Last Name:CADET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:THERAPIST
Mailing Address - Street 1:P.O.BOX25923
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33320
Mailing Address - Country:US
Mailing Address - Phone:954-446-5563
Mailing Address - Fax:
Practice Address - Street 1:6049 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023
Practice Address - Country:US
Practice Address - Phone:954-446-5563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA15611171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor