MEDICARE: DR. JULIAN MELAMED M.D.

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	207R00000X	Internal Medicine Physician	ME119142	FL

General Provider Information

NPI Number	:	1083618995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIAN MELAMED M.D.

Provider Business Mailing Address
First Line	:	12738 TAR FLOWER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-2340
Country	:	US
Telephone Number	:	978-596-6458
Fax Number	:

Provider Business Practice Location Address
First Line	:	4257 W KENNEDY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2230
Country	:	US
Telephone Number	:	813-948-7550
Fax Number	:

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	09/21/2021

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