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NPI Code Detail

MEDICARE: MELANIE ROOK ARNP

MEDICARE:   MELANIE  ROOK  ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9293120FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP9293120OTHERFLFLORIDA LICENSE

General Provider Information

NPI Number : 1528574092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE ROOK ARNP
Provider Business Mailing Address
First Line : 1994 E SUNRISE BLVD # 118
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-1462
Country : US
Telephone Number : 954-701-9104
Fax Number : 954-944-0778
Provider Business Practice Location Address
First Line : 1451 NE 4TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-1033
Country : US
Telephone Number : 954-627-9118
Fax Number : 954-627-9822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2017
Last Update Date : 12/20/2017

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