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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

POONAM MISHRA, D.O.

Active

POONAM MISHRA, D.O. is a Adolescent Medicine healthcare provider located in MELBOURNE, Florida. NPI 1306836952 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · MELBOURNE, FL

Registration Details

NPI Number
1306836952
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2005 (20.824258046913 yrs)
Last Updated
Feb 6, 2015
License
593360315 (FL)

Practice Information

Address
401 N WICKHAM RD
SUITE H
MELBOURNE, FL, 329358659
Browse FL providers · Browse ZIP 32935
Phone
3217575105
Fax
3217575104
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Providers in MELBOURNE, FL

Name Credential NPI
DR. AMI BHATT M.D 1124373212
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.