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NPI Code Detail

MEDICARE: MELVIN EATON

MEDICARE: MELVIN EATON
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
1224Z00000XOccupational Therapy Assistant209771TX

General Provider Information

NPI Number : 1871744128
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVIN EATON
Provider Business Mailing Address
First Line : 9750 WINDWATER DR
Second Line : 932
City : HOUSTON
State : TX
Zip : 77075-2306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 1ST ST N
Second Line : SUITE 200
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-6945
Country : US
Telephone Number : 904-241-9231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2008
Last Update Date : 10/06/2008

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Directions to “ MELVIN EATON ” Practice Location

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