Provider Demographics
NPI:1841463833
Name:MELO, FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:MELO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:MELO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1219 S EAST AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2355
Mailing Address - Country:US
Mailing Address - Phone:941-330-9797
Mailing Address - Fax:941-330-9798
Practice Address - Street 1:1219 S EAST AVE STE 204
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2355
Practice Address - Country:US
Practice Address - Phone:941-330-9797
Practice Address - Fax:941-330-9798
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2023-06-07
Deactivation Date:2018-09-04
Deactivation Code:
Reactivation Date:2018-09-12
Provider Licenses
StateLicense IDTaxonomies
FL174H00000X
FLME114391207Q00000X, 2083A0300X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No174H00000XOther Service ProvidersHealth Educator
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)