MEDICARE: DR. GREG MELNICK MD

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	2080N0001X	Neonatal-Perinatal Medicine Physician	ME 33629	FL

General Provider Information

NPI Number	:	1326240029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREG MELNICK MD

Provider Business Mailing Address
First Line	:	2114 FISHER ISLAND DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33109-0049
Country	:	US
Telephone Number	:	305-674-1411
Fax Number	:

Provider Business Practice Location Address
First Line	:	2114 FISHER ISLAND DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33109-0049
Country	:	US
Telephone Number	:	305-674-1411
Fax Number	:

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	07/08/2007

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