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NPI Code Detail

MEDICARE: DR. AMY MARIE MELLOR M.D.

MEDICARE: DR. AMY MARIE MELLOR M.D.
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
12084N0400XNeurology PhysicianME99024FL

General Provider Information

NPI Number : 1487714770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY MARIE MELLOR M.D.
Provider Business Mailing Address
First Line : 713 E MARION AVE STE 123
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-3862
Country : US
Telephone Number : 941-833-1515
Fax Number :
Provider Business Practice Location Address
First Line : 713 E MARION AVE STE 123
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-3862
Country : US
Telephone Number : 941-833-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2006
Last Update Date : 07/11/2025

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Directions to “ DR. AMY MARIE MELLOR M.D.” Practice Location

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