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NPI Code Detail

MEDICARE: CARRIE MELPOLDER

MEDICARE: CARRIE MELPOLDER
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
1183700000XPharmacy TechnicianRPHT4006FL

General Provider Information

NPI Number : 1760894778
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE MELPOLDER
Provider Business Mailing Address
First Line : 2100 WINTER SPRINGS BLVD
Second Line :
City : OVIEDO
State : FL
Zip : 32765-9342
Country : US
Telephone Number : 407-366-9810
Fax Number :
Provider Business Practice Location Address
First Line : 2100 WINTER SPRINGS BLVD
Second Line :
City : OVIEDO
State : FL
Zip : 32765-9342
Country : US
Telephone Number : 407-366-9810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2014
Last Update Date : 05/24/2014

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Directions to “ CARRIE MELPOLDER ” Practice Location

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