Individual
RYAN MATTHEW MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 MEDICAL PARK DR STE 320, TAMPA, FL 33613-4681
(813) 910-0027
(813) 971-1286
Mailing address
3000 MEDICAL PARK DR STE 320, TAMPA, FL 33613-4681
(813) 910-0027
(813) 971-1286
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A107291
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME119375
FL
Other
Enumeration date
04/11/2012
Last updated
07/22/2021
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