Provider Demographics
NPI:1861021800
Name:BINDERNAGEL, CONSTANCE MELCHIONNA (DO, MBA)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:MELCHIONNA
Last Name:BINDERNAGEL
Suffix:
Gender:F
Credentials:DO, MBA
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:ELISE
Other - Last Name:MELCHIONNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3251 N MCMULLEN BOOTH RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3251 N MCMULLEN BOOTH RD STE 300
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2022
Practice Address - Country:US
Practice Address - Phone:727-791-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19953207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology