Ryan Matthew Mellor
Surgeon Cardiothoracic Vascular Surgeon
3000 Medical Park Dr Ste 320
Tampa
, Florida 33613-4681
Ryan Matthew Mellor
Surgeon Cardiothoracic Vascular Surgeon
3000 Medical Park Dr Ste 320
Tampa
, Florida 33613-4681
(813) 971-1286
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Ryan Matthew Mellor
- 3000 Medical Park Dr Ste 320
- Tampa, FL
- Zip : 33613-4681
- Fax : (813) 971-1286
- Phone : (813) 910-0027
Second Address
- Ryan Matthew Mellor
- 3000 Medical Park Dr Ste 320
- Tampa, FL
- Zip : 33613-4681
- Fax : (813) 971-1286
- Phone : (813) 910-0027
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | A107291 | CA |
| N | 208600000X | Surgeon | A107291 | CA |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME119375 | FL |
National Provider Identifier
| NPI | 1104182427 |
|---|---|
| Provider Name | Ryan Matthew Mellor |
| First Address | Tampa, FL 33613-4681 |
| Second Address | Tampa, FL 33613-4681 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2012 |
| Last Update Date | 22/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.