MEDICARE: DR. MELISSA EIRICH 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	207P00000X	Emergency Medicine Physician	S2022	TX
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	ME101416	FL
3	207P00000X	Emergency Medicine Physician	ME101416	FL
4	207P00000X	Emergency Medicine Physician	203981	NY
5	207P00000X	Emergency Medicine Physician	52240	KY
6	207P00000X	Emergency Medicine Physician	E-12011	AR
7	207P00000X	Emergency Medicine Physician	58757	TN
8	207P00000X	Emergency Medicine Physician	312131	LA
9	207P00000X	Emergency Medicine Physician	G162220	CA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659393031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA EIRICH MD

Provider Business Mailing Address
First Line	:	1021 N STATE ROAD 7
Second Line	:	MEDEXPRESS URGENT CARE
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5117
Country	:	US
Telephone Number	:	561-333-9331
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 N STATE ROAD 7
Second Line	:	MEDEXPRESS URGENT CARE
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5117
Country	:	US
Telephone Number	:	561-333-9331
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	09/11/2019

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Directions to “ DR. MELISSA EIRICH MD” Practice Location

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