| Organization Name: | MELLMAN MEDICAL CENTER |
| NPI Number: | 1043593684 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEON MELLMAN (OWNER) |
| Mailing Address: | 19380 Collins Ave Suite 823 Sunny Isles Beach |
| State: | FL US |
| Postal Code: | 331602239 |
| Phone Number: | 9544575989 |
| Fax Number: | 3053972923 |
| NPI Enumeration Date: | 09/20/2011 |
| NPI Last Update Date: | 09/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251H1300X |
| License Number: | 8735 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Human Factors |
| Taxonomy Definition: | |