Active NPI
Charles Mella M.D. P.a.
- Specialist
- Winter Park, FL
National Provider Identifier
1902054554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 28144
- Legal business name
- CHARLES MELLA M.D. P.A.
- Practice address
- 315 N Lakemont Ave
Suite C
Winter Park, FL 32792-3205 - Phone
- (407) 647-2550
- Fax
- (407) 647-0616
- NPI assigned
- Sep 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Sizemore
- Title
- Practice Administrator
- Phone
- (407) 647-2550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 28144 | FL | Primary |
Addresses
Primary practice location
315 N Lakemont Ave
Suite C
Winter Park, FL 32792-3205
Mailing address
315 N Lakemont Ave
Suite C
Winter Park, FL 32792-3205
Phone (407) 647-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689663932 | Other | FL | NPI |
Other names 1
- Charles Mella M.D.
National Provider Directory
National Provider DirectoryLocations
315 N Lakemont Ave
Ste C
Winter Park, FL 32792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339718400000",
"number": "1902054554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N LAKEMONT AVE",
"address_2": "SUITE C",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923205",
"telephone_number": "407-647-2550",
"fax_number": "407-647-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N LAKEMONT AVE",
"address_2": "SUITE C",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923205",
"telephone_number": "407-647-2550",
"fax_number": "407-647-0616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES MELLA M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-08",
"last_updated": "2012-06-15",
"status": "A",
"authorized_official_last_name": "SIZEMORE",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "407-647-2550"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "28144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1689663932",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Charles Mella M.D.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Winter Park, FL
- Charles E. Williams, M.D.P.a.
- Charles English & Associates LLC (CEA Health Counseling)
- Charles English, PH.D. & Associates (Charles English, Ph.D. and Associates)
- Charles J Koller MD PA
- Charles J Koller MD PA
- Anide Charles, MS
- Lee Ann Demza Charles, MD
- Karen Regina Charron, ARNP
- Kessem Chartor
- Karen Framhein Chase, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.