Individual provider · Type 1 NPI

Melody Koback

Family Nurse Practitioner · Deltona, FL

NPI number 1952802043 Active

Practice location

1200 Deltona Blvd, Suite 40A
Deltona, FL 32725-6386

Mailing address

1205 S Woodland Blvd Ste 3
Deland, FL 32720-7464

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN11002961 (FL)
Adult Health Nurse Practitioner 363LA2200XAPRN11002961 (FL)
Primary Care Nurse Practitioner 363LP2300XAPRN11002961 (FL)
Family Nurse Practitioner Primary 363LF0000XAPRN11002961 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1952802043

Melody Koback's National Provider Identifier is 1952802043, issued on Feb 23, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Deltona, FL. The record was last updated on Jun 11, 2025.