Organization
ELLEN T MELVIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN THERESE MELVIN MD (OWNER/PRESIDENT)
(772) 569-6869
Entity
Organization
Contact information
Practice address
3745 11TH CIR STE 103, VERO BEACH, FL 32960
(772) 569-6869
(772) 569-8214
Mailing address
3745 11TH CIR STE 103, VERO BEACH, FL 32960-4838
(772) 569-6869
(772) 569-8214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME41899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440003585
RAILROAD MEDICARE PTAN
FL
Enumeration date
04/12/2007
Last updated
07/13/2018
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