Provider Demographics
NPI:1215274808
Name:MELA, APRIL ELAINE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:APRIL
Middle Name:ELAINE
Last Name:MELA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 EUTAU CT
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4172
Mailing Address - Country:US
Mailing Address - Phone:321-794-0958
Mailing Address - Fax:
Practice Address - Street 1:2571 W EAU GALLIE BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-8302
Practice Address - Country:US
Practice Address - Phone:321-752-9722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9106705363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical