Provider Demographics
NPI:1821191487
Name:DREW, MELVYN GALEZA (MD)
Entity type:Individual
Prefix:
First Name:MELVYN
Middle Name:GALEZA
Last Name:DREW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 EMBASSY BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668
Mailing Address - Country:US
Mailing Address - Phone:727-848-2233
Mailing Address - Fax:727-847-4945
Practice Address - Street 1:6610 EMBASSY BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668
Practice Address - Country:US
Practice Address - Phone:727-848-2233
Practice Address - Fax:727-847-4945
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27967208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
51090Medicare ID - Type Unspecified
D85905Medicare UPIN