Individual provider · Type 1 NPI

Bridget Lea Mellen, CSFA

Surgical Physician Assistant · Orlando, FL

NPI number 1295420925 Active

Practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

1420 Celebration Blvd Ste 200
Celebration, FL 34747-5162

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1295420925

Bridget Lea Mellen, CSFA's National Provider Identifier is 1295420925, issued on Apr 10, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Apr 10, 2023.