Provider Demographics
NPI:1053705921
Name:MELI ORTHOPEDIC CENTERS OF EXCELLENCE,LLC.
Entity type:Organization
Organization Name:MELI ORTHOPEDIC CENTERS OF EXCELLENCE,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIGIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FENELON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:954-580-4080
Mailing Address - Street 1:2825 N STATE ROAD 7 STE 204
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-580-4080
Mailing Address - Fax:954-580-4081
Practice Address - Street 1:2964 N STATE ROAD 7
Practice Address - Street 2:SUITE 205
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063
Practice Address - Country:US
Practice Address - Phone:954-580-4080
Practice Address - Fax:954-580-4081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty