Healthcare Provider Details

I. General information

NPI: 1487093654
Provider Name (Legal Business Name): MIGUEL ALBERTO MELO-BICCHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9055 SW 87TH AVE STE 100
MIAMI FL
33176-2306
US

IV. Provider business mailing address

9960 NW 116TH WAY STE 13
MEDLEY FL
33178-1175
US

V. Phone/Fax

Practice location:
  • Phone: 305-596-2080
  • Fax: 305-351-7905
Mailing address:
  • Phone: 786-924-1311
  • Fax: 786-924-1313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME139413
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberME139413
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: