MEDICARE: MELANIE MENDEZ MALPICA DPT, PT, BSN-RN, PTA

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	2251N0400X	Neurology Physical Therapist	PT43770	FL

General Provider Information

NPI Number	:	1629900485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE MENDEZ MALPICA DPT, PT, BSN-RN, PTA

Provider Business Mailing Address
First Line	:	5682 CENTURY 21 BLVD APT 18
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-2255
Country	:	US
Telephone Number	:	787-381-7455
Fax Number	:

Provider Business Practice Location Address
First Line	:	5682 CENTURY 21 BLVD APT 18
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-2255
Country	:	US
Telephone Number	:	787-381-7455
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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