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NPI Code Detail

MEDICARE: DR. MELANIE RENAE SIMPSON MD

MEDICARE: DR. MELANIE RENAE SIMPSON MD
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
1208D00000XGeneral Practice PhysicianME112274FL
2207Q00000XFamily Medicine PhysicianME112274FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275796518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELANIE RENAE SIMPSON MD
Provider Business Mailing Address
First Line : 6635 FOREST HILL BLVD
Second Line :
City : GREENACRES
State : FL
Zip : 33413-3354
Country : US
Telephone Number : 561-434-5678
Fax Number : 561-964-9829
Provider Business Practice Location Address
First Line : 3505 PROGRESS LN
Second Line :
City : SAINT CLOUD
State : FL
Zip : 34769-6519
Country : US
Telephone Number : 407-891-8044
Fax Number : 407-891-8016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 08/15/2025

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