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NPI Code Detail

MEDICARE: MELANIE L MENDELSOHN CAA

MEDICARE:   MELANIE L MENDELSOHN  CAA
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
1367H00000XAnesthesiologist Assistant75000196AIN
2367H00000XAnesthesiologist AssistantAA738FL

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 : 1316675051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE L MENDELSOHN CAA
Provider Business Mailing Address
First Line : 3001 W TYSON AVE
Second Line :
City : TAMPA
State : FL
Zip : 33611-4434
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1701 N SENATE BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1239
Country : US
Telephone Number : 317-274-0275
Fax Number : 317-274-0256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2022
Last Update Date : 06/15/2026

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Directions to “ MELANIE L MENDELSOHN CAA” Practice Location

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