Individual
DR. MELANIE WACHTEL ROTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 LIPSCOMB ST NE, SUITE 14, PALM BAY, FL 32905-2997
(321) 327-2274
(321) 327-2848
Mailing address
PO BOX 61615, PALM BAY, FL 32906-1615
(321) 327-2274
(321) 327-2848
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME 65926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25259X
MEDICARE
FL
Enumeration date
06/18/2005
Last updated
09/19/2014
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