Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | P612-600-43-202 | FL |
NPI | 1144422288 |
---|---|
Provider Name | Melvin Mayer Propis |
First Address | Plantation, FL 33317-2300 |
Second Address | Plantation, FL 33317-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/07/2007 |