MEDICARE: MRS. MELISSA M ARMSTRONG P.A

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	363AS0400X	Surgical Physician Assistant	PA9110073	FL
2	363A00000X	Physician Assistant	PA9110073	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	IX170Y	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z3ZLO	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376086934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA M ARMSTRONG P.A

Provider Business Mailing Address
First Line	:	8065 MARSH CIR
Second Line	:
City	:	LABELLE
State	:	FL
Zip	:	33935-5468
Country	:	US
Telephone Number	:	239-290-7676
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 HOMESTEAD RD N
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-6044
Country	:	US
Telephone Number	:	239-303-5020
Fax Number	:

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

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	08/14/2025

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Directions to “ MRS. MELISSA M ARMSTRONG P.A” Practice Location

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