MEDICARE: DR. JOHN MELENDEZ-BENABE 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	207L00000X	Anesthesiology Physician	01051151A	IN
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	01051151A	IN

General Provider Information

NPI Number	:	1912955394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MELENDEZ-BENABE M.D.

Provider Business Mailing Address
First Line	:	109 ALEGRIA WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-1722
Country	:	US
Telephone Number	:	317-439-3530
Fax Number	:	561-422-8288

Provider Business Practice Location Address
First Line	:	7305 N. MILITARY TRAIL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6400
Country	:	US
Telephone Number	:	561-422-6549
Fax Number	:	561-422-8288

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	08/03/2010

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Directions to “ DR. JOHN MELENDEZ-BENABE M.D.” Practice Location

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