Provider Demographics
NPI:1053503789
Name:PURRES, MELANIE E (MD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:E
Last Name:PURRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2400 SE MONTEREY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3351
Mailing Address - Country:US
Mailing Address - Phone:772-419-5599
Mailing Address - Fax:772-288-7064
Practice Address - Street 1:2400 SE MONTEREY RD STE 300
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3351
Practice Address - Country:US
Practice Address - Phone:772-419-5599
Practice Address - Fax:772-288-7064
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301090904207Q00000X
FL124565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine