Healthcare Provider Details

I. General information

NPI: 1932620606
Provider Name (Legal Business Name): MELISSA MARIE KESLAR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6919 N DALE MABRY HWY STE 300
TAMPA FL
33614-3972
US

IV. Provider business mailing address

6919 N DALE MABRY HWY STE 300
TAMPA FL
33614-3972
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4265
  • Fax:
Mailing address:
  • Phone: 813-467-4265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number312032
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberOS23863
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: