Individual
EDWIN M MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
2509 W CREST AVE, TAMPA, FL 33614-6839
(813) 878-2105
(813) 875-0213
Mailing address
2509 W CREST AVE, TAMPA, FL 33614-6839
(813) 878-2105
(813) 875-0213
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0059273
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053078600
—
FL
01
—
12087
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
07/26/2006
Last updated
08/08/2011
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