Provider Demographics
NPI:1538165113
Name:DODD, PAUL MELTON III (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MELTON
Last Name:DODD
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 102222
Mailing Address - Street 2:ATTN: CREDENTIALING DEPT
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2222
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:239-278-3350
Practice Address - Street 1:325 CLYDE MORRIS BLVD STE 450
Practice Address - Street 2:FLORIDA CANCER SPECIALISTS P L
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8179
Practice Address - Country:US
Practice Address - Phone:386-673-2442
Practice Address - Fax:386-673-4884
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2022-05-02
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Provider Licenses
StateLicense IDTaxonomies
FLME78210207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256247200Medicaid
46865OtherBCBSF PROVIDER NUMBER
46865OtherBCBSF PROVIDER NUMBER
FL256247200Medicaid