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NPI Code Detail

MEDICARE: MR. ELLIOT NMI LEMELMAN

MEDICARE: MR. ELLIOT NMI LEMELMAN
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
1183500000XPharmacistPS22138FL

General Provider Information

NPI Number : 1720227697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELLIOT NMI LEMELMAN
Provider Business Mailing Address
First Line : 210 SAINT ANDREWS RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-2913
Country : US
Telephone Number : 954-964-0048
Fax Number :
Provider Business Practice Location Address
First Line : 2730 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4808
Country : US
Telephone Number : 954-921-8696
Fax Number : 954-921-6559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2009
Last Update Date : 02/16/2009

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