Organization
VITREO RETINAL CONSULTANTS OF THE PALM BEACHES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALOMON EMILIO MELGEN MD (PRESIDENT OF CORPORATION)
(561) 687-0007
Entity
Organization
Contact information
Practice address
2521 METROCENTRE BLVD, WEST PALM BEACH, FL 33407
(561) 687-0007
(561) 688-0431
Mailing address
2521 METROCENTRE BLVD, WEST PALM BEACH, FL 33407
(561) 687-0007
(561) 688-0431
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064710100
—
FL
01
—
56172
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/01/2006
Last updated
12/19/2012
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