Provider Demographics
NPI:1821889262
Name:EFRECE, MELVIN (LPN)
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:
Last Name:EFRECE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9138 NW 20TH MNR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6141
Mailing Address - Country:US
Mailing Address - Phone:786-382-1380
Mailing Address - Fax:
Practice Address - Street 1:9138 NW 20TH MNR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6141
Practice Address - Country:US
Practice Address - Phone:786-382-1380
Practice Address - Fax:786-382-1380
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5151188164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse