Provider Demographics
NPI:1033271259
Name:ORTEGA, MEL THOMAS (MD, FACS)
Entity Type:Individual
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First Name:MEL
Middle Name:THOMAS
Last Name:ORTEGA
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:8740 N KENDALL DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2212
Mailing Address - Country:US
Mailing Address - Phone:305-412-9990
Mailing Address - Fax:305-412-9767
Practice Address - Street 1:8740 N KENDALL DR
Practice Address - Street 2:SUITE 209
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2212
Practice Address - Country:US
Practice Address - Phone:305-412-9990
Practice Address - Fax:305-412-9767
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME65154208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery