MEDICARE: MELISSA JOY FLECK M.D.

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	207L00000X	Anesthesiology Physician	ME87252	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740242379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA JOY FLECK M.D.

Provider Business Mailing Address
First Line	:	3711 GRAIN RUN
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-1383
Country	:	US
Telephone Number	:	941-962-1040
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S HIGHLANDS AVE
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-5416
Country	:	US
Telephone Number	:	941-962-1040
Fax Number	:

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	06/04/2025

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