MEDICARE: MELANIE PADRON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1457207912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE PADRON PA-C

Provider Business Mailing Address
First Line	:	11300 NE 2ND AVE
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33161-6695
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11300 NE 2ND AVE
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33161-6695
Country	:	US
Telephone Number	:	305-899-3130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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Directions to “ MELANIE PADRON PA-C” Practice Location

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