Healthcare Provider Details

I. General information

NPI: 1750728283
Provider Name (Legal Business Name): MELISSA VELARDE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 LAKE HOWELL ROAD
MAITLAND FL
32751
US

IV. Provider business mailing address

846 LAKE HOWELL RD
MAITLAND FL
32751-5222
US

V. Phone/Fax

Practice location:
  • Phone: 407-767-2477
  • Fax: 407-767-7644
Mailing address:
  • Phone: 407-767-2477
  • Fax: 407-767-7644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME127688
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: