Individual
MR. HERMANN J MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W 9TH ST, 2ND FLOOR, HIALEAH, FL 33010-3853
(786) 360-4528
(786) 360-4529
Mailing address
PO BOX 480389, FT LAUDERDALE, FL 33348-0389
(561) 672-7851
(561) 672-7861
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME69649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259474900
—
FL
Enumeration date
09/20/2007
Last updated
02/07/2012
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