MEDICARE: AMBER MELTON

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	207Q00000X	Family Medicine Physician	APRN11043937	FL

General Provider Information

NPI Number	:	1407719495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER MELTON

Provider Business Mailing Address
First Line	:	8341 BONITA ISLE DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-5528
Country	:	US
Telephone Number	:	661-618-2575
Fax Number	:

Provider Business Practice Location Address
First Line	:	8341 BONITA ISLE DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-5528
Country	:	US
Telephone Number	:	661-618-2575
Fax Number	:

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

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ AMBER MELTON ” Practice Location

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