Provider Demographics
NPI:1043010911
Name:MOYET-MELENDEZ, GEORGE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:MOYET-MELENDEZ
Suffix:
Gender:
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 POST OAK BLVD APT 109
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-5612
Mailing Address - Country:US
Mailing Address - Phone:813-803-2972
Mailing Address - Fax:
Practice Address - Street 1:2818 CYPRESS RIDGE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6305
Practice Address - Country:US
Practice Address - Phone:813-803-2972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299996292251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health