MEDICARE: MR. MATTHEW NEIL MELVIN ARNP

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	363L00000X	Nurse Practitioner	ARNP 9169903	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1346249406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW NEIL MELVIN ARNP

Provider Business Mailing Address
First Line	:	PO BOX 606
Second Line	:
City	:	GLEN ST MARY
State	:	FL
Zip	:	32040-0606
Country	:	US
Telephone Number	:	904-653-1818
Fax Number	:	904-653-1814

Provider Business Practice Location Address
First Line	:	1847 SW BARNETT WAY
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-6957
Country	:	US
Telephone Number	:	386-755-2240
Fax Number	:	386-755-6598

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	02/22/2013

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