| Doctor Name: | MS. CAROL MILLER MELLEN |
| NPI Number: | 1730314691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,RD,LD |
| License Number: | ND 3560 |
| Business Practice Address: | 1717 S Orange Ave Orlando, FL - 328062944 |
| Business Phone Number: | 4076507000 |
| Business Fax Number: | 4075675924 |
| Mailing Address: | Po Box 191, Provider Enrollment Dept ROCKLAND |
| State: | DE |
| Postal Code: | 197320191 |
| Phone Number: | 3026516212 |
| Fax Number: | 3026514945 |
| NPI Enumeration Date: | 05/21/2009 |
| NPI Last Update Date: | 07/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | ND 3560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |