MEDICARE: DR. MELINDA L LACERNA-KIMBRELL MD

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	208200000X	Plastic Surgery Physician	ME109505	FL
2	2086S0122X	Plastic and Reconstructive Surgery Physician	A72404	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902954720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELINDA L LACERNA-KIMBRELL MD

Provider Business Mailing Address
First Line	:	219 N. 18TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205
Country	:	US
Telephone Number	:	805-607-8342
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 4TH AVENUE CIR E
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-5623
Country	:	US
Telephone Number	:	941-954-4500
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/13/2021

Similar Medicare Providers

1902763436 — MS. SARAH CRULL APRN
Practice Location Address:

5301 4TH AVENUE CIR E
BRADENTON, FL
34208-5623

Practice Phone: 941-761-2900
Practice Fax:

1164460143 — PREMIER OBGYN ASSOCIATES PLLC
Practice Location Address:

5323 4TH AVENUE CIR E
BRADENTON, FL
34208-5623

Practice Phone: 941-745-5115
Practice Fax: 941-567-1000

1043376395 — DR. MICHELE L LEMAY MD
Practice Location Address:

5323 4TH AVENUE CIR E
BRADENTON, FL
34208-5623

Practice Phone: 941-745-5115
Practice Fax: 941-567-1000

1386835973 — DOREEN RODO R.D.
Practice Location Address:

5317 4TH AVE CIRCLE EAST
BRADENTON, FL
34208-5623

Practice Phone: 941-254-4957
Practice Fax: 941-254-4958

1629264676 — DANA LYNN PILZ PA-C
Practice Location Address:

5301 4TH AVENUE CIR E
BRADENTON, FL
34208-5623

Practice Phone: 941-761-2900
Practice Fax: 941-795-1400

1891971552 — DR. KELLY CHRISTINE CHAMBERLAIN M.D.
Practice Location Address:

5323 4TH AVENUE CIR E
BRADENTON, FL
34208-5623

Practice Phone: 941-745-5115
Practice Fax: 941-315-6742

Directions to “ DR. MELINDA L LACERNA-KIMBRELL MD” 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.