| Alan L Melotek Md Pa | |
|
951 Nw 13th St #1b Boca Raton FL 33486-2359 | |
| (561) 750-7509 | |
| (561) 750-7106 |
| Full Name | Alan L Melotek Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 951 Nw 13th St, Boca Raton, Florida |
| Authorized Official Name and Position | Alan Leslie Melotek (PRESIDENT) |
| Authorized Official Contact | 5617507509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan L Melotek Md Pa 951 Nw 13th St #1b Boca Raton FL 33486-2359 Ph: (561) 750-7509 | Alan L Melotek Md Pa 951 Nw 13th St #1b Boca Raton FL 33486-2359 Ph: (561) 750-7509 |
| NPI Number | 1265620652 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 06/08/2009 |
| Medicare PECOS PAC ID | 2264597913 |
|---|---|
| Medicare Enrollment ID | O20090213000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265620652 | NPI | - | NPPES |
| K2320 | Other | FL | MEDICARE GROUP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME0056918 (Florida) | Primary |
| Provider Name | Alan Melotek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407874811 PECOS PAC ID: 2567527211 Enrollment ID: I20090213000143 |
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