Provider Demographics
NPI:1699947663
Name:MELLMAN, ZEV H (DC)
Entity type:Individual
Prefix:DR
First Name:ZEV
Middle Name:H
Last Name:MELLMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10368 WEST STATE ROAD 84
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-433-3886
Mailing Address - Fax:
Practice Address - Street 1:10368 W STATE RD 84 STE 105
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4243
Practice Address - Country:US
Practice Address - Phone:954-433-3886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-30
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor