| Medical And Wellness Center Of Melrose Corporation | |
|
1745 Sr 100 Melrose FL 32666 | |
| (954) 854-4290 | |
| Not Available |
| Full Name | Medical And Wellness Center Of Melrose Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1745 Sr 100, Melrose, Florida |
| Authorized Official Name and Position | Kenyetta Latrice Reese (PRESIDENT/CEO) |
| Authorized Official Contact | 3524782471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical And Wellness Center Of Melrose Corporation 1745 Sr 100 Melrose FL 32666 Ph: (352) 478-2471 | Medical And Wellness Center Of Melrose Corporation 1745 Sr 100 Melrose FL 32666 Ph: (954) 854-4290 |
| NPI Number | 1770722936 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 07/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770722936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ACN205 (Florida) | Primary |
| 261QH0100X | Clinic/center - Health Service | ARNP780412 (Florida) | Secondary |
Melrose Medical Group Pl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5818 Centre St, Melrose, FL 32666 Phone: 352-475-3292 | |
Heart 2 Heart Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 State Road 100, Melrose, FL 32666 Phone: 386-659-2104 Fax: 386-659-2196 | |
Heart 2 Heart Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1326 State Road 100, Melrose, FL 32666 Phone: 386-659-2104 |