MEDICARE: MELINDA L JONES

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
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	232910430Z	FL

General Provider Information

NPI Number	:	1215884218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA L JONES

Provider Business Mailing Address
First Line	:	1865 CRINKLE LEAF CT
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570-5731
Country	:	US
Telephone Number	:	813-213-8632
Fax Number	:

Provider Business Practice Location Address
First Line	:	1865 CRINKLE LEAF CT
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570-5731
Country	:	US
Telephone Number	:	813-213-8632
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ MELINDA L JONES ” Practice Location

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