Doctor Name: | ALFONSO FREDERICK MELEAN |
NPI Number: | 1790821445 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0026219 |
Business Practice Address: | 4802 E 7th Ave Tampa, FL - 336054704 |
Business Phone Number: | 8132486245 |
Business Fax Number: | 8132412709 |
Mailing Address: | 4802 E 7th Ave, TAMPA |
State: | FL |
Postal Code: | 336054704 |
Phone Number: | 8132486245 |
Fax Number: | 8132412709 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0026219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |