Provider Demographics
NPI:1447968367
Name:ONE ACCORD HEALTH
Entity type:Organization
Organization Name:ONE ACCORD HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CLINICAL PROGRAMS
Authorized Official - Prefix:DR
Authorized Official - First Name:LOLITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELHADO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC, PHD
Authorized Official - Phone:239-314-4126
Mailing Address - Street 1:12221 TOWNE LAKE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8185
Mailing Address - Country:US
Mailing Address - Phone:239-314-4126
Mailing Address - Fax:
Practice Address - Street 1:11948 FIVE WATERS CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-9073
Practice Address - Country:US
Practice Address - Phone:239-314-4126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONEACCORD HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service