Individual
MATTHEW MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
851 TRAFALGAR CT, SUITE 200E, MAITLAND, FL 32751-4132
(407) 667-0444
(407) 667-4338
Mailing address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME126939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
08/01/2011
Last updated
02/25/2016
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