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Individual

MELISSA SUSAN NICOLETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1222 S ORANGE AVE FL 5, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049
Mailing address
1222 S ORANGE AVE FL 5, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-19703
HI
207Q00000X
Family Medicine Physician
ME146004
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME146004
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111307700
FL
Enumeration date
04/06/2015
Last updated
10/31/2025
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