Igor Melnychuk M.D.

NPI 1023104536 - Internal Medicine - 207R00000X

NPI Details
NPI 1023104536
Gender Male
Enumeration Date 10/04/2006
Last Updated 10/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
14546 OLD ST AUGUSTINE RD
SUITE 107
JACKSONVILLE FL, 32258, US
Phone (904) 352-2466
Fax (904) 352-2472
Business Location
P.O. BOX 16292
SUITE 107
JACKSONVILLE FL, 32245, US
Phone (904) 352-2466
Fax (904) 352-2472
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME88142
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According to our database, Igor Melnychuk M.D. NPI is 1023104536, taxonomy code is 207R00000X and license number is ME88142, license state is located at Florida. Igor Melnychuk M.D. physically located at 14546 Old St Augustine Rd, Jacksonville FL, 32258. NPI Number Igor Melnychuk M.D. has the Individual type.

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1023104536 NPI number is provided on an as is basis without warranty of any kind. 1023104536 is maintained by the National Plan & Provider Enumeration System. The contents of Igor Melnychuk M.D. are for informational purposes only.