Medical and Wellness Center of Melrose Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ACN205 Issued in 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

Last updated

Jul 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kenyetta Latrice Reese

Title

President/Ceo

Phone

(352) 478-2471

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delcora Howell, ARNP

  • Family Nurse Practitioner
  • Melrose, FL
  • NPI 1831230564
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1770722936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 SR 100",
            "city": "MELROSE",
            "state": "FL",
            "postal_code": "32666",
            "telephone_number": "352-478-2471",
            "fax_number": "352-478-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SR 100",
            "city": "MELROSE",
            "state": "FL",
            "postal_code": "32666",
            "telephone_number": "954-854-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND WELLNESS CENTER OF MELROSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "KENYETTA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "352-478-2471",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ARNP780412",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Logan, LMT
• Sabrina Lopez, OTR/L
• Zoe Malave
• Rhonda Francs McBreen
• Haley Alyssa McMinn
• Melrose Medical Group PL
• Melrose Pharmacy, Inc.
• Elizabeth Murphy
• Neale & Associates, Inc.
• Elisa Neale-Tobener, CCC-SLP

• Family Medicine Physician in Melrose, FL
• Providers in Melrose, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.