# MELPAST INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790733251
- **Authorized official:** YAMILET LUGO (PRESIDENT)
- **Authorized official phone:** (305) 759-8003

## Contact information

- **Practice address:** 777 NE 79TH ST, SUITE 102, MIAMI, FL 33138-4711
- **Practice address phone:** (305) 759-8003
- **Practice address fax:** (305) 751-0230
- **Mailing address:** 777 NE 79TH ST, SUITE 102, MIAMI, FL 33138-4711
- **Mailing address phone:** (305) 759-8003
- **Mailing address fax:** (305) 751-0230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 12/04/2007