Provider Demographics
NPI:1053994913
Name:SAAVEDRA, ALLISON MELANIE (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MELANIE
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3804 SW 79TH AVE APT 74
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6726
Mailing Address - Country:US
Mailing Address - Phone:305-281-3344
Mailing Address - Fax:
Practice Address - Street 1:9971 W FLAGLER ST STE B-240
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1810
Practice Address - Country:US
Practice Address - Phone:305-222-8335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9114356363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant