Mr Marc Edward Melliza, MA CCC-A | |
646 Virginia Street, 3rd Floor, Dunedin, FL 34698 | |
(727) 450-0560 | |
Not Available |
Full Name | Mr Marc Edward Melliza |
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Gender | Male |
Speciality | Audiologist |
Location | 646 Virginia Street, Dunedin, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255471611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AY823 (Florida) | Primary |
Provider Name | West Coast Ear, Nose & Throat, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346229440 PECOS PAC ID: 0941260103 Enrollment ID: O20041013000380 |
Provider Name | Audiology Distribution Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164707998 PECOS PAC ID: 0840459103 Enrollment ID: O20120514000578 |
Mailing Address | Practice Location Address |
---|---|
Mr Marc Edward Melliza, MA CCC-A 646 Virginia Street, 3rd Floor, Dunedin, FL 34698 Ph: (727) 450-0560 | Mr Marc Edward Melliza, MA CCC-A 646 Virginia Street, 3rd Floor, Dunedin, FL 34698 Ph: (727) 450-0560 |
Michelle Menendez, CCCA Audiologist Medicare: Not Enrolled in Medicare Practice Location: N. Pinellas Cboc Va, 1721 Main St., Dunedin, FL 34698 Phone: 727-734-5276 | |
Ms. Gari Taylor Feryo, BC-HIS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2162 Main St, Dunedin, FL 34698 Phone: 727-733-1600 Fax: 727-733-1664 |