Provider Demographics
NPI:1851654529
Name:MELVYN H. RECH, D.O., P.A.
Entity type:Organization
Organization Name:MELVYN H. RECH, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELVYN
Authorized Official - Middle Name:H
Authorized Official - Last Name:RECH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-441-1616
Mailing Address - Street 1:1900 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3618
Mailing Address - Country:US
Mailing Address - Phone:954-441-1616
Mailing Address - Fax:954-441-1614
Practice Address - Street 1:1900 N UNIVERSITY DR
Practice Address - Street 2:SUITE 107
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3618
Practice Address - Country:US
Practice Address - Phone:954-441-1616
Practice Address - Fax:954-441-1614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 1627207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE12029Medicare UPIN