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Organization

ALAN L MELOTEK MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALAN LESLIE MELOTEK M.D. (PRESIDENT)
(561) 750-7509
Entity
Organization

Contact information

Practice address
951 NW 13TH ST, #1B, BOCA RATON, FL 33486-2359
(561) 750-7509
(561) 750-7106
Mailing address
951 NW 13TH ST, #1B, BOCA RATON, FL 33486-2359
(561) 750-7509
(561) 750-7106

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME0056918
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K2320
MEDICARE GROUP PROVIDER #
FL
Enumeration date
10/10/2007
Last updated
06/08/2009
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