Organization
CHARLES MELLA M.D. P.A.
Active
Other names
Charles Mella M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SIZEMORE (PRACTICE ADMINISTRATOR)
(407) 647-2550
Entity
Organization
Contact information
Practice address
315 N LAKEMONT AVE, SUITE C, WINTER PARK, FL 32792-3205
(407) 647-2550
(407) 647-0616
Mailing address
315 N LAKEMONT AVE, SUITE C, WINTER PARK, FL 32792-3205
(407) 647-2550
(407) 647-0616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689663932
NPI
FL
Enumeration date
09/08/2008
Last updated
06/15/2012
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