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General NPI Number Information
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NPI Number | 1457453409
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Entity Type | Individual
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Provider Name | NICOLE D MELENDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4321 N MACDILL AVE
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City | TAMPA
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State | FL
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Zip | 33607-6388
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Country | US
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Telephone | 813-356-7161
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Fax | 813-840-3555
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 3
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone |
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Fax | 727-266-4943
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME103417
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2004016743
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD202522
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License Number State | LA
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