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NPI Code Detail

MEDICARE: MELODIE STARR CUNNINGHAM

MEDICARE: MELODIE STARR CUNNINGHAM
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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1396674073
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODIE STARR CUNNINGHAM
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17335 PAGONIA RD STE 109
Second Line :
City : CLERMONT
State : FL
Zip : 34711-6011
Country : US
Telephone Number : 407-614-4299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/27/2026

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Directions to “ MELODIE STARR CUNNINGHAM ” Practice Location

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