MEDICARE: MELINDA HUFFORD DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	27427	FL

General Provider Information

NPI Number	:	1255784765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA HUFFORD DPT

Provider Business Mailing Address
First Line	:	601 E ROLLINS ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1248
Country	:	US
Telephone Number	:	407-303-9603
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WAYMONT CT
Second Line	:	SUITE 120
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3412
Country	:	US
Telephone Number	:	407-303-0399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2016
Last Update Date	:	07/20/2016

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