Provider Demographics
NPI:1689493868
Name:GEORGE, MELVIN ORIBI (APRN, PMHNP-C)
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:ORIBI
Last Name:GEORGE
Suffix:
Gender:M
Credentials:APRN, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 HARRISON ST STE 7
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5017
Mailing Address - Country:US
Mailing Address - Phone:786-864-9722
Mailing Address - Fax:
Practice Address - Street 1:1911 HARRISON ST STE 7
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5017
Practice Address - Country:US
Practice Address - Phone:855-954-2755
Practice Address - Fax:855-984-0969
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035388363LP0808X
FLRN9397373163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty