Individual
DR. MELVIN EMEKA OMODON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301099187
MI
2085R0202X
Diagnostic Radiology Physician
036146488
IL
2085R0202X
Diagnostic Radiology Physician
Primary
25IA12313800
NJ
2085R0202X
Diagnostic Radiology Physician
269481
MA
2085R0204X
Vascular & Interventional Radiology Physician
036146488
IL
2085R0204X
Vascular & Interventional Radiology Physician
ME140585
FL
Other
Enumeration date
06/23/2011
Last updated
11/14/2025
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