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NPI Code Detail

MEDICARE: MRS. GINA MICHELLE MELE ARNP

MEDICARE: MRS. GINA MICHELLE MELE 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
1363LF0000XFamily Nurse PractitionerAPRN9221672FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT733OTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467772780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA MICHELLE MELE ARNP
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number : 239-599-2612
Provider Business Practice Location Address
First Line : 705 FERRIS ST
Second Line :
City : GREEN COVE SPRINGS
State : FL
Zip : 32043-4025
Country : US
Telephone Number : 904-284-4510
Fax Number : 904-284-3293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2010
Last Update Date : 02/28/2022

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Directions to “ MRS. GINA MICHELLE MELE ARNP” Practice Location

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