Individual
MAGDA ELKABANI MELCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 S KINGS AVE STE 100, BRANDON, FL 33511-5962
(813) 982-3460
(813) 982-3461
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME88929
FL
207RX0202X
Medical Oncology Physician
Primary
ME88929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275257300
—
FL
01
—
P00727035
RR MEDICARE
FL
Enumeration date
05/18/2006
Last updated
08/11/2022
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