Healthcare Provider Details

I. General information

NPI: 1689493868
Provider Name (Legal Business Name): MELVIN ORIBI GEORGE APRN, PMHNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6144 SW 30TH ST UNIT W
MIRAMAR FL
33023-3924
US

IV. Provider business mailing address

6144 SW 30TH ST UNIT W
MIRAMAR FL
33023-3924
US

V. Phone/Fax

Practice location:
  • Phone: 954-483-0136
  • Fax: 954-405-8644
Mailing address:
  • Phone: 954-483-0136
  • Fax: 954-405-8644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11035388
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9397373
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: