MEDICARE: MR. HERMANN J MELLON 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	208D00000X	General Practice Physician	ME69649	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588850853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HERMANN J MELLON MD

Provider Business Mailing Address
First Line	:	PO BOX 480389
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33348-0389
Country	:	US
Telephone Number	:	561-672-7851
Fax Number	:	561-672-7861

Provider Business Practice Location Address
First Line	:	315 W 9TH ST
Second Line	:	2ND FLOOR
City	:	HIALEAH
State	:	FL
Zip	:	33010-3853
Country	:	US
Telephone Number	:	786-360-4528
Fax Number	:	786-360-4529

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

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	02/07/2012

Similar Medicare Providers

1508808171 — DR. EDUARDO JOSE MILA PRATS MD
Practice Location Address:

315 W 9TH ST , 2ND FLOOR
HIALEAH, FL
33010-3853

Practice Phone: 786-360-4528
Practice Fax: 786-360-4529

1760520688 — MRS. MARIA L CRUZ SLP
Practice Location Address:

327 W 9TH ST
HIALEAH, FL
33010-3853

Practice Phone: 305-863-2233
Practice Fax: 305-863-3296

1881733483 — PROFESSIONAL MEDICAL SRVCS CORP
Practice Location Address:

315 W 9TH ST FL 2
HIALEAH, FL
33010-3853

Practice Phone: 305-888-6464
Practice Fax: 305-888-9696

1184840449 — MRS. GIOVANNA ISABEL MOJICA
Practice Location Address:

327 W 9TH ST
HIALEAH, FL
33010-3853

Practice Phone: 305-863-2233
Practice Fax: 305-863-3296

1205030681 — FARIDES COLPAS
Practice Location Address:

327 W 9TH ST
HIALEAH, FL
33010-3853

Practice Phone: 305-863-2233
Practice Fax: 305-863-3296

1730345257 — MR. LESTHER SEIJAS
Practice Location Address:

327 W 9TH ST
HIALEAH, FL
33010-3853

Practice Phone: 305-863-2233
Practice Fax: 305-863-3296

Directions to “ MR. HERMANN J MELLON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.