Provider Demographics
NPI:1457243248
Name:ST. GERMAIN, MELANIE CAYAO
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:CAYAO
Last Name:ST. GERMAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 NE 42ND CT
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-1415
Mailing Address - Country:US
Mailing Address - Phone:954-696-0507
Mailing Address - Fax:
Practice Address - Street 1:370 NE 42ND CT
Practice Address - Street 2:370 NE 42ND CT
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-1415
Practice Address - Country:US
Practice Address - Phone:954-696-0507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA106996225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist