Individual
MELVIN ELLIOT PANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 CORAL HILLS DR, SUITE 320, CORAL SPRINGS, FL 33065-4172
(954) 755-0111
(955) 755-2209
Mailing address
3001 CORAL HILLS DR, SUITE 320, CORAL SPRINGS, FL 33065-4172
(954) 755-0111
(955) 755-2209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0035549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002656
NHP
FL
01
—
0163184
GHI
FL
05
—
039414900
—
FL
01
—
204026
AVMED
FL
01
—
79528
BLUECROSSBLUESHIELD
FL
01
—
P00474395
MEDICARE RAILROAD
FL
Enumeration date
08/11/2005
Last updated
11/10/2010
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