Individual
DR. ROSS RICHARD MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 769-0329
(844) 563-8135
Mailing address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 769-0329
(844) 212-7396
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
OS19614
FL
208D00000X
General Practice Physician
5101020121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS19614
FLORIDA MEDICAL LICENSE
FL
Enumeration date
06/19/2012
Last updated
06/22/2023
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