Provider Demographics
NPI:1518992791
Name:LOMAN, MELCHIADES J (MD)
Entity Type:Individual
Prefix:DR
First Name:MELCHIADES
Middle Name:J
Last Name:LOMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5422 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3948
Mailing Address - Country:US
Mailing Address - Phone:727-849-1659
Mailing Address - Fax:727-842-3627
Practice Address - Street 1:5422 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3948
Practice Address - Country:US
Practice Address - Phone:727-849-1659
Practice Address - Fax:727-842-3627
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0043432207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068304300Medicaid
FLD56009Medicare UPIN
FL068304300Medicaid