Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609362755 Individual Practitioner Female Practitioner

Dr. Melissa Blackburn , DO

Pediatrics • Winter Haven, FL

Professional Overview & Biography Verified Profile Summary

Dr. Melissa Blackburn, DO is a registered healthcare professional specializing in Pediatrics in Winter Haven, FL. Practice services are available at 430 E CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

430 E Central Ave

Winter Haven, FL 338803050

Telephone 8632845000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Winter Haven, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL OS17882

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

1324 Lakeland Hills Blvd

Lakeland, FL 338054543

Phone: 8636871100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Alsina Gutierrez

Physician Assistant

NPI 1003447038
Nerida Nieves , ARNP

Nurse Practitioner - Family

NPI 1104332790

Advanced Registered Nurse Practitioner

Dr. Robert Bala , MD

Family Medicine

NPI 1124008156

Doctor of Medicine (M.D.)

Paul Kent , ARNP

Nurse Practitioner - Family

NPI 1134580053

Advanced Registered Nurse Practitioner

NPI 1205830825

Doctor of Medicine (M.D.)

Halie Toy , APRN

Nurse Practitioner - Family

NPI 1225976343

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 02, 2026

Registered at 430 E CENTRAL AVE, WINTER HAVEN, FL 338803050 (Tel: 8632845000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2022

Pediatrics (License #OS17882 in FL)

📍
Updated Practice Location June 17, 2021

Registered at 1324 LAKELAND HILLS BLVD, LAKELAND, FL 338054543 (Tel: 8636871100)

📍
Updated Business Mailing Address June 17, 2021

Registered at 1324 LAKELAND HILLS BLVD, LAKELAND, FL 338054543 (Tel: 8636871100)

👤
Provider Name / Credentials Updated June 17, 2021

Recorded as MELISSA BLACKBURN, DO

NPI Profile Active July 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2018

Registered at 92 W MILLER ST, ORLANDO, FL 328062032 (Tel: 4076496876)

📍
Updated Business Mailing Address July 02, 2018

Registered at 86 W UNDERWOOD ST STE 202, ORLANDO, FL 328061110 (Tel: 4076496876)

👤
Provider Name / Credentials Updated July 02, 2018

Recorded as MELISSA FARON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2018

Student in an Organized Health Care Education/Training Program (License #UO6298 in FL)

🟢
Initial NPI Registration & Enumeration July 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609362755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2018
Last Update: March 02, 2026
Sole Proprietor: Yes

Mailing Address

1324 Lakeland Hills Blvd

Lakeland, FL 338054543

Phone: 8636871100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.