Healthcare Provider Details

I. General information

NPI: 1093622201
Provider Name (Legal Business Name): DR MEL MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 N UNIVERSITY DR STE 201
TAMARAC FL
33321-1709
US

IV. Provider business mailing address

9346 NW 49TH PL
SUNRISE FL
33351-5261
US

V. Phone/Fax

Practice location:
  • Phone: 954-324-7575
  • Fax: 743-269-9346
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MELINDA EXUME
Title or Position: PRESIDENT
Credential: MD
Phone: 954-324-7575