Individual
MARC A MELSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 TAMIAMI TRL, SUITE 4, PORT CHARLOTTE, FL 33952-8127
(941) 235-7281
(941) 235-0463
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0065024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1193401
WELLCARE
FL
01
—
25222
BC/BS FL
FL
01
—
334857
AVMED
FL
05
—
375845100
—
FL
01
—
5496020
AETNA
FL
01
—
P00699994
RAILROAD MEDICARE
FL
01
—
QMP000005122202
MOLINA HEALTHCARE
FL
Enumeration date
03/08/2006
Last updated
09/18/2017
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