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Individual

MELINDA BETH HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
195 CENTER RD, UNIT B, VENICE, FL 34285
(941) 492-6227
(941) 492-6335
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0049467
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10556
BCBS FL
FL
01
1173811
WELLCARE
FL
01
2307432
CIGNA
FL
01
279265
AVMED
FL
01
5018201
AETNA
FL
01
P01023430
RAILROAD MCR
FL
01
P01808766
CLEAR HEALTH ALLIANCE
FL
01
P100894
FREEDOM HEALTH
FL
01
P938318
OPTIMUM
FL
Enumeration date
05/12/2006
Last updated
03/16/2017
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