MEDICARE: MELVIN ELLIOT PANN MD

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	208600000X	Surgery Physician	ME0035549	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00474395	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	79528	OTHER	FL	BLUECROSSBLUESHIELD
2	0163184	OTHER	FL	GHI
3	204026	OTHER	FL	AVMED
4	002656	OTHER	FL	NHP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629070586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELVIN ELLIOT PANN MD

Provider Business Mailing Address
First Line	:	3001 CORAL HILLS DR
Second Line	:	SUITE 320
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4172
Country	:	US
Telephone Number	:	954-755-0111
Fax Number	:	955-755-2209

Provider Business Practice Location Address
First Line	:	3001 CORAL HILLS DR
Second Line	:	SUITE 320
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4172
Country	:	US
Telephone Number	:	954-755-0111
Fax Number	:	955-755-2209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	11/10/2010

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Directions to “ MELVIN ELLIOT PANN MD” Practice Location

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