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General NPI Number Information
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NPI Number | 1427006436
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Entity Type | Individual
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Provider Name | ROBERT LAWTON MEADE JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 3690 SAINT JOHNS BLUFF RD S
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City | JACKSONVILLE
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State | FL
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Zip | 32224-2616
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Country | US
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Telephone | 904-564-4343
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Fax | 904-390-7443
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Provider Business Mailing Address
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Address Line | PO BOX 746638
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City | ATLANTA
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State | GA
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Zip | 30374-6638
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Country | US
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Telephone | 904-202-2092
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Fax | 904-376-4075
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2013-00725
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME48853
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License Number State | FL
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