Provider Demographics
NPI:1174690986
Name:BONE, MELANIE K (MD)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:K
Last Name:BONE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5301 S CONGRESS AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1149
Mailing Address - Country:US
Mailing Address - Phone:561-548-8600
Mailing Address - Fax:561-548-8650
Practice Address - Street 1:5301 S CONGRESS AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1149
Practice Address - Country:US
Practice Address - Phone:561-548-8600
Practice Address - Fax:561-548-8650
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL0059234207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004424200Medicaid
FL11914XMedicare PIN