MEDICARE: MARLIN MELDONIAN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1295417731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARLIN MELDONIAN LLC

Provider Business Mailing Address
First Line	:	1080 E INDIANTOWN RD STE 103A
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33477-5188
Country	:	US
Telephone Number	:	561-831-9609
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 E INDIANTOWN RD STE 103A
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33477-5188
Country	:	US
Telephone Number	:	561-831-9609
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARLIN JOSEPH MELDONIAN
Credential	:
Telephone Number	:	561-831-9606

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	01/22/2026

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