Organization
MARC A. MELSER, MD, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC A MELSER MD (OWNER)
(941) 235-7281
Entity
Organization
Contact information
Practice address
3410 TAMIAMI TRL, SUITE 4, PORT CHARLOTTE, FL 33952-8112
(941) 235-7281
(941) 235-0463
Mailing address
3410 TAMIAMI TRL, SUITE 4, PORT CHARLOTTE, FL 33952-8112
(941) 235-7281
(941) 235-0463
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25222
BC/BS FL
FL
01
—
280495
WELLCARE
FL
01
—
3648401
AETNA
FL
01
—
7978351002
CIGNA
FL
01
—
DC4107
RR MEDICARE
FL
Enumeration date
10/26/2006
Last updated
08/22/2020
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