Provider Demographics
NPI:1528050895
Name:MELOGRANA, FRANK S (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:S
Last Name:MELOGRANA
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 1:300 CLYDE MORRIS BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-5909
Mailing Address - Country:US
Mailing Address - Phone:386-673-5100
Mailing Address - Fax:386-673-6014
Practice Address - Street 1:300 CLYDE MORRIS BLVD STE C
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5909
Practice Address - Country:US
Practice Address - Phone:386-673-5100
Practice Address - Fax:386-673-6014
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD10133208800000X
FLME140736208800000X
MDD0020393208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
105427OtherOPTIMUM CHOICE
1900131OtherUNITED HEALTHCARE AMERICHOICE
4053643OtherAETNA PPO
432105237OtherBRAVO HEALTH
41789302OtherBCBS MD
028049OtherJOHN HOPKINS
028049OtherPRIORITY PARTNERS
1263178OtherCIGNA
1467388OtherAETNA HMO
FLE6VWJOtherBCBS FL
57620008OtherBCBS DC
P00447984OtherRAILROAD MEDICARE
G02425M03Medicare PIN
4053643OtherAETNA PPO