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NPI Code Detail

MEDICARE: MELODY ALICE PEREZ APRN

MEDICARE: MELODY ALICE PEREZ APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerSP007380PA
2363LF0000XFamily Nurse PractitionerAPRN9232136FL

General Provider Information

NPI Number : 1174526719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY ALICE PEREZ APRN
Provider Business Mailing Address
First Line : 915 W MONROE ST STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-1177
Country : US
Telephone Number : 904-384-2240
Fax Number : 904-486-2314
Provider Business Practice Location Address
First Line : 915 W MONROE ST STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-1177
Country : US
Telephone Number : 904-384-2240
Fax Number : 904-486-2314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 04/28/2021

Similar Medicare Providers

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Practice Location Address:
915 W MONROE ST STE 200
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Practice Fax:
1952653180 — CYNTHIA CARANTA APRN, ACNP-BC
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Practice Fax:
1750115887 — ALEXANDRA MARIE SPENCE APRN
Practice Location Address:
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JACKSONVILLE, FL
32204-1177
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1750940912 — BRITTANY COLSON APRN
Practice Location Address:
915 W MONROE ST STE 301
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Practice Fax:
1447252523 — DR. DAVID RICKENBECK SUTTON JR. M.D.
Practice Location Address:
915 W MONROE ST STE 200
JACKSONVILLE, FL
32204-1177
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Practice Fax: 904-486-2314
1437153707 — DR. LORRAINE H DAJANI M.D.
Practice Location Address:
915 W MONROE ST , SUITE 200
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32204-1177
Practice Phone: 904-384-2240
Practice Fax: 904-384-6055

Directions to “ MELODY ALICE PEREZ APRN” Practice Location

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