Provider Demographics
NPI:1689224537
Name:CABRAL-BARSOTTELLI, MELISSA (DC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:CABRAL-BARSOTTELLI
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 1:401 FLAGLER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-2640
Mailing Address - Country:US
Mailing Address - Phone:213-235-5108
Mailing Address - Fax:
Practice Address - Street 1:401 FLAGLER AVE
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-2640
Practice Address - Country:US
Practice Address - Phone:213-235-5108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor