Provider Demographics
NPI:1902443294
Name:MCENANY, MELANIE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:LYNN
Last Name:MCENANY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 948242
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32794-8242
Mailing Address - Country:US
Mailing Address - Phone:407-203-7635
Mailing Address - Fax:407-413-8973
Practice Address - Street 1:11043 W COLONIAL DR STE 401
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-2976
Practice Address - Country:US
Practice Address - Phone:407-203-7635
Practice Address - Fax:407-413-8973
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor