Melvyn Roy Fletcher, M.D.
Individual provider Active NPI Pediatrics Physician · Key Biscayne, FL
NPI 1619219557 · NPPES record last updated Mar 18, 2013
Key facts
- NPI
- 1619219557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME57123 (FL)
- Practice address
- 204 W Wood Dr
Key Biscayne, FL 33149-2425 - Phone
- (305) 298-6057
- NPI assigned
- Mar 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202002532 | FL | Order and Referring Only - Pediatric Medicine |
9335443993 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME57123 | FL | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME57123 | FL | Yes |
Addresses
Primary practice location
204 W Wood Dr
Key Biscayne, FL 33149-2425
Mailing address
204 W Wood Dr
Key Biscayne, FL 33149-2425
Phone (305) 298-6057
Other providers in Key Biscayne, FL
- Regina Maria Fernandez-Llanio
- Ivette Fernandez
- Taiane Ferrari
- Annette Figueredo
- Maureen Ashe Fitzpatrick
- Natalia Freitas Cordeiro
- Neil Friedman
- Functional Restoration Corp
- Hector Jose Gallego
- Sayly Garcia
All providers in Key Biscayne, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.