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Individual

DR. VICTOR WADY MELGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
765 IMAGE WAY, ORANGE CITY, FL 32763
(386) 774-7411
(386) 774-7412
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME52934
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006583
FLORIDA HEALTHCARE
FL
05
035004400
FL
01
07806
BLUE CROSS BLUE SHIELD
FL
01
1227562
UNITED HEALTHCARE
FL
01
214866
AVMED HEALTHCARE
FL
01
3968419008
CIGNA HEALTHCARE
FL
01
4534587
AETNA PPO
FL
01
700979
HMO
FL
01
ME 52934
MEDICAL LICENSE
FL
01
P00178570
PALMETTO GBA
FL
Enumeration date
05/08/2006
Last updated
08/11/2022
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