Melendez, Nicole D

Melendez, Nicole D is an individual health care provider with primary practice located at 4321 N Macdill Ave , Tampa FL 33607-6388. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Melendez, Nicole D can be contacted via phone (813) 356-7161.

Contact Information

Primary practice address
4321 N Macdill Ave Tampa FL 33607-6388
Phone: (813) 356-7161
Fax: (813) 840-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD202522 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2004016743 Missouri
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME103417 Florida

Profile Details

NPI number 1457453409
LBN Legal business name Melendez, Nicole D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Oct 5th, 2021 - about 4 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 1457453409 NPPES
Florida MEDICAID 002991100

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