Medical and Wellness Center of Melrose Corporation
Organization Active NPI Family Medicine Physician · Melrose, FL
NPI 1770722936 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1770722936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ACN205 (FL)
- Legal business name
- MEDICAL AND WELLNESS CENTER OF MELROSE CORPORATION
- Practice address
- 1745 Sr 100
Melrose, FL 32666 - Phone
- (954) 854-4290
- NPI assigned
- Feb 11, 2009
- Organization subpart
- No
Authorized official
- Name
- Ms. Kenyetta Latrice Reese
- Title
- President/Ceo
- Phone
- (352) 478-2471
Practitioners 1
-
Delcora Howell, ARNP
National Provider Directory
Locations
1745 State Road 100
Melrose, FL 32666
Phone (352) 478-2471
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | ACN205 | FL | Yes |
| Health Service Clinic/Center | 261QH0100X | ARNP780412 | FL |
Addresses
Primary practice location
1745 Sr 100
Melrose, FL 32666
Mailing address
1745 Sr 100
Melrose, FL 32666
Phone (352) 478-2471
Other providers in Melrose, FL
- Lisa Marie Logan
- Sabrina Lopez
- Zoe Malave
- Rhonda Francs McBreen
- Haley Alyssa McMinn
- Melrose Medical Group PL
- Melrose Pharmacy, Inc.
- Elizabeth Murphy
- Neale & Associates, Inc.
- Elisa Neale-Tobener
All providers in Melrose, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.