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Individual

DR. JOSEPH WILLIAM MELENDEZ-DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4651 SHERIDAN ST, SUITE 350, HOLLYWOOD, FL 33021-3457
(954) 276-8559
(954) 966-9762
Mailing address
2900 CORPORATE WAY, MPG DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5581
(954) 985-7081

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME120123
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012301300
FL
01
HV227Y
MEDICARE PTAN
FL
Enumeration date
05/04/2009
Last updated
03/17/2021
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