MEDICARE: DR. PAUL I MELI III 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	207X00000X	Orthopaedic Surgery Physician	ME0057725	FL

General Provider Information

NPI Number	:	1669589362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL I MELI III MD

Provider Business Mailing Address
First Line	:	2122 W CYPRESS CREEK RD STE 202
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1868
Country	:	US
Telephone Number	:	954-324-7711
Fax Number	:	954-206-5448

Provider Business Practice Location Address
First Line	:	2122 W CYPRESS CREEK RD STE 202
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1868
Country	:	US
Telephone Number	:	954-324-7711
Fax Number	:	954-669-1160

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	05/10/2024

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