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General NPI Number Information
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NPI Number | 1326499674
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Entity Type | Individual
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Provider Name | CRAIG MELBOURNE MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4669 E STATE ROAD 44 STE 101
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City | WILDWOOD
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State | FL
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Zip | 34785-7460
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Country | US
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Telephone | 352-456-0220
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Fax | 833-520-5009
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Provider Business Mailing Address
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Address Line | 2801 SE 1ST AVE STE 302
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City | OCALA
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State | FL
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Zip | 34471-0478
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Country | US
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Telephone | 352-237-9298
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2016022477
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME148791
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License Number State | FL
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