Basic Information
| Provider Information | |||||||||
| NPI: | 1134665912 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WOO | ||||||||
| FirstName: | MELISSA | ||||||||
| MiddleName: | ASHLEY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3100 WESTON RD | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333313602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546595883 | ||||||||
| FaxNumber: | 9546595595 | ||||||||
| Practice Location | |||||||||
| Address1: | 3100 WESTON RD | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333313602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546595883 | ||||||||
| FaxNumber: | 9546595595 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2017 | ||||||||
| LastUpdateDate: | 02/12/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208M00000X | 142039 | FL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.