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Melody Koback
Family Nurse Practitioner in Deltona, Florida
NPI 1952802043

Melody Koback is a Family Nurse Practitioner based in Deland, FL and is specialized in Family. Melody Koback practices in Deltona, FL. The NPI Number for Melody Koback is 1952802043 and holds a License No. APRN11002961 (Florida).

The current practice location address for Melody Koback is 1200 Deltona Blvd, Deltona, FL and can be reached out via phone at 386-202-6025.

Location: 1200 Deltona Blvd, Deltona, FL, 32720-7464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952802043
Provider Name
Melody Koback
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 Deltona Blvd, Deltona, FL, 32720-7464
Phone Number
386-202-6025
Fax Number
Provider Enumeration Date
02/23/2018
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103491600 05 FL
institution
Provider Business Practice Location Address Details
Address
1200 Deltona Blvd
City
Deltona
State
Florida
Zip
32725-6386
Phone Number
386-202-6025
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Deltona Blvd
City
Deltona
State
Florida
Zip
32725-6386
Phone Number
386-202-6025
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11002961 (Florida)
Definition
Definition to come...
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