Provider Demographics
NPI:1477574028
Name:LAND, MELODY PALMER (MD)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:PALMER
Last Name:LAND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1611 NW 12TH AVE
Mailing Address - Street 2:JACKSON MEMORIAL HOSPITAL ER DEPT, EAST TOWER FIRST FL
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-6913
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:JACKSON MEMORIAL HOSPITAL ER DEPT, EAST TOWER FIRST FL
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-6913
Practice Address - Fax:305-585-0000
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME71681207R00000X, 208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine