Provider Demographics
NPI:1891776001
Name:DRUCKER, MELVYN GARY (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVYN
Middle Name:GARY
Last Name:DRUCKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:19955 PORTO VITA WAY
Mailing Address - Street 2:APT. 2701
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3427
Mailing Address - Country:US
Mailing Address - Phone:305-932-7738
Mailing Address - Fax:305-932-9285
Practice Address - Street 1:20601 E DIXIE HWY
Practice Address - Street 2:SUITE 330
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1540
Practice Address - Country:US
Practice Address - Phone:305-932-2310
Practice Address - Fax:305-932-2583
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME12262207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD59326Medicare UPIN
FL90702AMedicare ID - Type Unspecified