Individual
DAVID R MELCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
220 S COURTENAY PKWY STE B, MERRITT ISLAND, FL 32952-4893
(321) 434-5820
(321) 434-5821
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-5820
(321) 434-5821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-25544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-25544
STATE OF FL. PT LICENSE
FL
01
—
QY500
HFMG MA
FL
01
—
Y07EY
FLORIDA BLUE
FL
Enumeration date
09/21/2006
Last updated
06/08/2023
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