| Igor Melnychuk MD PA | |
|
259 Rendezvous Ln Ponte Vedra FL 32082-1253 | |
| (904) 388-3351 | |
| Not Available |
| Full Name | Igor Melnychuk MD PA |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 259 Rendezvous Ln, Ponte Vedra, Florida |
| Authorized Official Name and Position | Igor Melnychuk (PRESIDENT) |
| Authorized Official Contact | 9043883351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Igor Melnychuk MD PA Po Box 2791 Ponte Vedra Beach FL 32004-2791 | Igor Melnychuk MD PA 259 Rendezvous Ln Ponte Vedra FL 32082-1253 Ph: (904) 388-3351 |
| NPI Number | 1609069228 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609069228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (NU) | Primary |
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