Melba Enterprises LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MELBA ENTERPRISES LLC

Practice address

1411 Cortez Ave
Lehigh Acres, FL 33972-8410

Phone

(754) 234-5319

NPI assigned

Mar 4, 2011

Organization subpart

No

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

Authorized official

Name

Marchelle Rachel

Title

PT

Phone

(754) 234-5319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1427356179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 CORTEZ AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339728410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CORTEZ AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339728410",
            "telephone_number": "754-234-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "RACHEL",
        "authorized_official_first_name": "MARCHELLE",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "754-234-5319"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.