Basic Information
| Provider Information | |||||||||
| NPI: | 1053705921 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MELI ORTHOPEDIC CENTERS OF EXCELLENCE,LLC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2825 N STATE ROAD 7 STE 204 | ||||||||
| Address2: | |||||||||
| City: | MARGATE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330635737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9545804080 | ||||||||
| FaxNumber: | 9545804081 | ||||||||
| Practice Location | |||||||||
| Address1: | 2964 N STATE ROAD 7 | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | MARGATE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9545804080 | ||||||||
| FaxNumber: | 9545804081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2015 | ||||||||
| LastUpdateDate: | 10/21/2019 | ||||||||
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| AuthorizedOfficialLastName: | FENELON | ||||||||
| AuthorizedOfficialFirstName: | BRIGIDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9545804080 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.