Individual
MELANIE K. CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 N MILLS AVE, ORLANDO, FL 32803-5722
(407) 581-9180
(407) 926-9173
Mailing address
PO BOX 4918, ORLANDO, FL 32802-4918
(407) 581-9180
(407) 926-9173
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME89809
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME89809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712768 00
—
FL
01
—
50996
BCBS
FL
01
—
P00248319
RAILROAD MEDICARE
—
01
—
XXX-XX-1727
CHAMPUS / TRICARE SOUTH REGION
—
Enumeration date
07/20/2006
Last updated
11/02/2010
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