Provider Demographics
NPI:1851583835
Name:MELLER, JULIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:
Last Name:MELLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NE 3RD AVE STE 1500
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1181
Mailing Address - Country:US
Mailing Address - Phone:305-951-2318
Mailing Address - Fax:
Practice Address - Street 1:101 NE 3RD AVE STE 1500
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1181
Practice Address - Country:US
Practice Address - Phone:305-951-2318
Practice Address - Fax:786-425-2652
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME358792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95396Medicare PIN