MEDICARE: MELIA HERNANDEZ HOLT 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207N00000X	Dermatology Physician	ME139164	FL

General Provider Information

NPI Number	:	1902284177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELIA HERNANDEZ HOLT M.D.

Provider Business Mailing Address
First Line	:	515 W STATE ROAD 434 STE 210
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-5162
Country	:	US
Telephone Number	:	407-332-8080
Fax Number	:	407-260-0602

Provider Business Practice Location Address
First Line	:	515 W STATE ROAD 434 STE 210
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-5162
Country	:	US
Telephone Number	:	407-332-8080
Fax Number	:	407-260-0602

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

Provider Enumeration Date	:	05/08/2015
Last Update Date	:	07/19/2019

Similar Medicare Providers

1053300590 — ANTONIO L. RODRIGUEZ M.D.
Practice Location Address:

515 WEST STATE RD. 434 , SUITE 203
LONGWOOD, FL
32750-5162

Practice Phone: 407-265-7775
Practice Fax: 407-265-2266

1992868228 — STEVEN K BROOKS MD
Practice Location Address:

515 W STATE ROAD 434
LONGWOOD, FL
32750-5162

Practice Phone: 407-841-5111
Practice Fax:

1144528522 — MICHAEL LEE SAMPSON ARNP
Practice Location Address:

515 W STATE ROAD 434 , STE 203
LONGWOOD, FL
32750-5162

Practice Phone: 407-265-7775
Practice Fax: 407-265-2266

1801214721 — DR. SAQIB AHMED M.D.
Practice Location Address:

515 W SR 434 STE 210
LONGWOOD, FL
32750-5162

Practice Phone: 407-332-8080
Practice Fax: 407-260-0602

1659031326 — ORLANDO PAIN CENTERS OF EXCELLENCE LLC
Practice Location Address:

515 W STATE ROAD 434 STE 201
LONGWOOD, FL
32750-5162

Practice Phone: 407-745-1115
Practice Fax: 407-745-1005

1740295930 — WALGREEN CO
Practice Location Address:

115 E STATE ROAD 434
LONGWOOD, FL
32750-5273

Practice Phone: 407-830-7350
Practice Fax:

Directions to “ MELIA HERNANDEZ HOLT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.