Healthcare Provider Details

I. General information

NPI: 1194152090
Provider Name (Legal Business Name): MELI ORTHOPEDIC CENTERS OF EXCELLENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2013
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2964 N STATE ROAD 7 SUITE 205
MARGATE FL
33063-5715
US

IV. Provider business mailing address

2825 N STATE ROAD 7 STE 204
MARGATE FL
33063-5737
US

V. Phone/Fax

Practice location:
  • Phone: 954-580-4080
  • Fax: 954-580-4081
Mailing address:
  • Phone: 954-580-4080
  • Fax: 954-580-4081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME0057725
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD MELI
Title or Position: CEO
Credential: M.D
Phone: 954-566-7590