Individual
JOHN NICHOLAS MELVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1150 N 35TH AVE STE 440, HOLLYWOOD, FL 33021-5430
(954) 265-6356
(954) 985-5154
Mailing address
2900 CORPORATE WAY DOOR D, MIRAMAR, FL 33025
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
139813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104787900
—
FL
Enumeration date
04/08/2013
Last updated
02/21/2023
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