Mellman Chiropractic Group PA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH8735 Issued in FL

Legal business name

MELLMAN CHIROPRACTIC GROUP PA

Practice address

4263 SW 64TH Ave
Davie, FL 33314-3461

Phone

(954) 457-8788

Fax

(954) 457-9588

NPI assigned

May 13, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leon D Mellman, D.C.

Title

Owner

Phone

(786) 412-5914

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1326484718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 SW 64TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143461",
            "telephone_number": "954-457-8788",
            "fax_number": "954-457-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4263 SW 64TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143461",
            "telephone_number": "954-457-8788",
            "fax_number": "954-457-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLMAN CHIROPRACTIC GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "MELLMAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-412-5914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH8735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Mejia
• Lina Maria Mejia, D.D.S.
• Meririe Aylin Mejia
• Natalie Mejia
• Antonio Jose Melendez
• Zev H. Mellman, D.C.
• Samuel Melo
• Yvelene Melus
• Annie Mena Gonzalez
• Beatriz Mena Leal

• Sports Physician Chiropractor in Davie, FL
• Providers in Davie, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.