Provider Demographics
NPI:1245298371
Name:MELGEN, SALOMON EMILIO (MD)
Entity type:Individual
Prefix:MR
First Name:SALOMON
Middle Name:EMILIO
Last Name:MELGEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2521 METROCENTRE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-687-0007
Mailing Address - Fax:561-688-0431
Practice Address - Street 1:2521 METROCENTRE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-687-0007
Practice Address - Fax:561-688-0431
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0048581207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL56172OtherBLUE CROSS BLUE SHIELD
FL56172OtherBLUE CROSS BLUE SHIELD
FL00403Medicare ID - Type Unspecified