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NPI Code Detail

MEDICARE: JORGE MELGEN M.D

MEDICARE: JORGE MELGEN 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
1207L00000XAnesthesiology PhysicianME87484FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
171468OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1245202084
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE MELGEN M.D
Provider Business Mailing Address
First Line : 3661 S MIAMI AVE
Second Line : SUITE 902
City : MIAMI
State : FL
Zip : 33133-4236
Country : US
Telephone Number : 305-854-0302
Fax Number : 305-854-0308
Provider Business Practice Location Address
First Line : 3641 S MIAMI AVE
Second Line :
City : MIAMI
State : FL
Zip : 33133-4205
Country : US
Telephone Number : 305-854-0302
Fax Number : 305-854-0308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 11/05/2021

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Directions to “ JORGE MELGEN M.D” Practice Location

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