Healthcare Provider Details

I. General information

NPI: 1508751280
Provider Name (Legal Business Name): MELISSA PION
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA PION RN

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 LAKE SUMNER DR
GROVELAND FL
34736-9672
US

IV. Provider business mailing address

508 LAKE SUMNER DR
GROVELAND FL
34736-9672
US

V. Phone/Fax

Practice location:
  • Phone: 954-547-0810
  • Fax:
Mailing address:
  • Phone: 954-547-0810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number9296796
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number9296796
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: