MEDICARE: MELANIE ROSE SCARFONE D.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	122300000X	Dentist	21305	FL
2	1223G0001X	General Practice Dentistry	DN21305	FL

General Provider Information

NPI Number	:	1396127908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE ROSE SCARFONE D.M.D.

Provider Business Mailing Address
First Line	:	1931 NE 2ND ST # ST304
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3741
Country	:	US
Telephone Number	:	203-598-6850
Fax Number	:

Provider Business Practice Location Address
First Line	:	2490 CAT CAY LANE, RESIDENTIAL, RESIDENTIAL
Second Line	:	RESIDENTIAL
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3331
Country	:	US
Telephone Number	:	203-598-6850
Fax Number	:

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

Provider Enumeration Date	:	06/19/2015
Last Update Date	:	11/07/2022

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