MEDICARE: DR. FRANK S MELOGRANA 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
1	208800000X	Urology Physician	MD10133	DC
2	208800000X	Urology Physician	ME140736	FL
3	208800000X	Urology Physician	D0020393	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	P00447984	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	105427	OTHER		OPTIMUM CHOICE
2	1900131	OTHER		UNITED HEALTHCARE AMERICHOICE
3	4053643	OTHER		AETNA PPO
4	432105237	OTHER		BRAVO HEALTH
5	41789302	OTHER		BCBS MD
6	028049	OTHER		JOHN HOPKINS
7	028049	OTHER		PRIORITY PARTNERS
8	1263178	OTHER		CIGNA
9	1467388	OTHER		AETNA HMO
10	E6VWJ	OTHER	FL	BCBS FL
11	57620008	OTHER		BCBS DC

General Provider Information

NPI Number	:	1528050895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK S MELOGRANA M.D.

Provider Business Mailing Address
First Line	:	300 CLYDE MORRIS BLVD STE C
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5909
Country	:	US
Telephone Number	:	386-673-5100
Fax Number	:	386-673-6014

Provider Business Practice Location Address
First Line	:	300 CLYDE MORRIS BLVD STE C
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5909
Country	:	US
Telephone Number	:	386-673-5100
Fax Number	:	386-673-6014

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	02/23/2021

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Directions to “ DR. FRANK S MELOGRANA M.D.” Practice Location

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