Ellen T Melvin Md Pa | |
3745 11th Cir Ste 103 Vero Beach FL 32960 | |
(772) 569-6869 | |
(772) 569-8214 |
Full Name | Ellen T Melvin Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 3745 11th Cir Ste 103, Vero Beach, Florida |
Authorized Official Name and Position | Ellen Therese Melvin (OWNER/PRESIDENT) |
Authorized Official Contact | 7725696869 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ellen T Melvin Md Pa 3745 11th Cir Ste 103 Vero Beach FL 32960-4838 Ph: (772) 569-6869 | Ellen T Melvin Md Pa 3745 11th Cir Ste 103 Vero Beach FL 32960 Ph: (772) 569-6869 |
NPI Number | 1043434947 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 07/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043434947 | NPI | - | NPPES |
440003585 | Other | FL | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME41899 (Florida) | Primary |
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