Mejia Disla, Melissa Yolanda

Mejia Disla, Melissa Yolanda is an individual health care provider with primary practice located at 690 S Goldenrod Rd , Orlando FL 32822-8108. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mejia Disla, Melissa Yolanda can be contacted via phone (407) 792-1144.

Contact Information

Primary practice address
690 S Goldenrod Rd Orlando FL 32822-8108
Fax: (407) 232-9807
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME116099 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME116099 Florida

Profile Details

NPI number 1194952754
LBN Legal business name Mejia Disla, Melissa Yolanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated May 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194952754 NPPES
Florida MEDICAID 014155200

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