Individual
DR. MELISSA S. BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7001 LAKE ELLENOR DR, ORLANDO, FL 32809-5792
(407) 992-0984
Mailing address
7001 LAKE ELLENOR DR, ORLANDO, FL 32809-5792
(407) 992-0984
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0068162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261237200
—
FL
01
—
65535
CLIA #
FL
Enumeration date
05/12/2006
Last updated
12/26/2009
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