MEDICARE: JONATHAN MELTZ PERWIEN 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	207R00000X	Internal Medicine Physician	ME0055360	FL

General Provider Information

NPI Number	:	1720196322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN MELTZ PERWIEN M.D.

Provider Business Mailing Address
First Line	:	8100 ROYAL PALM BLVD STE 105
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5733
Country	:	US
Telephone Number	:	954-344-2288
Fax Number	:	333-052-3758

Provider Business Practice Location Address
First Line	:	8100 ROYAL PALM BLVD STE 105
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5733
Country	:	US
Telephone Number	:	954-344-2288
Fax Number	:	954-344-8443

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/30/2024

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