Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Fundora

Individual provider Registered Nurse · NPI 1063255016

Melissa Fundora is a Nurse Practitioner in Miami, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

3661 S Miami Ave Ste 503
Miami, FL 33133-4200
Phone: (786) 955-7054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11036683 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9567915 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11036683 (FL)

Record details

NPI number1063255016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address3661 S Miami Ave Ste 503, Miami, FL 33133-4200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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