MEDICARE: JASON EDWARD MELDAU

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME173482	FL
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	72415	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3E84A	OTHER	FL	FLORIDABLUE
2	2011012	OTHER	FL	CIGNA
3	8718116	OTHER	FL	AETNA

General Provider Information

NPI Number	:	1326508565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON EDWARD MELDAU

Provider Business Mailing Address
First Line	:	300 VILLAGE SQUARE XING STE 201
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3223
Country	:	US
Telephone Number	:	616-303-8705
Fax Number	:	561-630-3680

Provider Business Practice Location Address
First Line	:	300 VILLAGE SQUARE XING STE 201
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3223
Country	:	US
Telephone Number	:	561-630-3870
Fax Number	:	561-630-3680

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

Provider Enumeration Date	:	03/22/2019
Last Update Date	:	10/21/2025

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Directions to “ JASON EDWARD MELDAU ” Practice Location

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