Melanoma and Cutaneous Oncology Surgical Specialists Melanoma Clinic

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

MELANOMA AND CUTANEOUS ONCOLOGY SURGICAL SPECIALISTS MELANOMA CLINIC

Practice address

1400 S Orlando Ave Ste 101
Winter Park, FL 32789-5543

Phone

(419) 705-0279

NPI assigned

Aug 2, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael McPheeNPI 1285685495

Title

Owner

Phone

(419) 705-0279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Donald McPhee, MD

  • Surgical Oncology Physician
  • Altamonte Springs, FL
  • NPI 1285685495
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1194407817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4086 BERMUDA GROVE PL",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ORLANDO AVE STE 101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895543",
            "telephone_number": "419-705-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANOMA AND CUTANEOUS ONCOLOGY SURGICAL SPECIALISTS MELANOMA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "MCPHEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-705-0279"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divyesh M Mehta, DPM
• Pankti Mehta, DPT
• Raj Mehta, M.D.
• Maria Cristina Meirelles Toledo Cruz
• Maria Meketa
• Evelyn Melendez, LCSW
• Somaya Mellouli, MSW
• Ciara Marie Mendez, MSW
• Jillian Claire Mendoza, DNP, APRN, FNP-C
• Sarah Lynn Mendoza, M.A.

• Surgical Oncology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Surgical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.