| Doctor Name: | DR. VICTOR WADY MELGEN |
| NPI Number: | 1386693331 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME52934 |
| Business Practice Address: | 765 Image Way Orange City, FL - 32763 |
| Business Phone Number: | 3867747411 |
| Business Fax Number: | 3867747412 |
| Mailing Address: | 4371 Veronica S Shoemaker Blvd, Attn: Credential Dept FORT MYERS |
| State: | FL |
| Postal Code: | 339162216 |
| Phone Number: | 2392748200 |
| Fax Number: | 2392783350 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 09/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME52934 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |