Healthcare Provider Details

I. General information

NPI: 1477786192
Provider Name (Legal Business Name): MELANIE SUE SCHLAUDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS MELANIE SUE MCCORMICK

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 04/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 CELEBRATION PL SUITE 206
CELEBRATION FL
34747-5433
US

IV. Provider business mailing address

410 CELEBRATION PL SUITE 206
CELEBRATION FL
34747-5433
US

V. Phone/Fax

Practice location:
  • Phone: 407-566-9700
  • Fax: 407-674-2254
Mailing address:
  • Phone: 407-566-9700
  • Fax: 407-674-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number240077
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME102774
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: