Provider Demographics
NPI:1952660425
Name:BURKE, MELANIE LYNNE (DO)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:LYNNE
Last Name:BURKE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:LYNNE
Other - Last Name:TORTORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10301 HAGEN RANCH RD
Mailing Address - Street 2:SUITE B740
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3724
Mailing Address - Country:US
Mailing Address - Phone:561-734-0188
Mailing Address - Fax:561-734-0566
Practice Address - Street 1:10301 HAGEN RANCH RD
Practice Address - Street 2:SUITE B740
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3724
Practice Address - Country:US
Practice Address - Phone:561-734-0188
Practice Address - Fax:561-734-0566
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS14003207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology