Provider Demographics
NPI:1982932257
Name:KOLENDA, MELISSA ANN KACI (DC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ANN KACI
Last Name:KOLENDA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN KACI
Other - Last Name:MEDEIROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2901 BUSCH LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1860
Mailing Address - Country:US
Mailing Address - Phone:813-936-7979
Mailing Address - Fax:813-936-1600
Practice Address - Street 1:2901 BUSCH LAKE BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1860
Practice Address - Country:US
Practice Address - Phone:813-936-7979
Practice Address - Fax:813-936-1600
Is Sole Proprietor?:No
Enumeration Date:2009-11-25
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9835111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor