MEDICARE: VICTOR YOSEF MELT CAMPOS MD

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	207Q00000X	Family Medicine Physician	ACN1300	FL
2	208D00000X	General Practice Physician	21918	PR
3	208D00000X	General Practice Physician	ACN1300	FL

General Provider Information

NPI Number	:	1942703525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR YOSEF MELT CAMPOS MD

Provider Business Mailing Address
First Line	:	PO BOX 44008
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4008
Country	:	US
Telephone Number	:	904-383-1002
Fax Number	:	904-244-5965

Provider Business Practice Location Address
First Line	:	655 WEST 8TH STREET
Second Line	:	ACC BUILDING 4TH FLOOR
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-4146
Country	:	US
Telephone Number	:	201-675-8242
Fax Number	:	904-244-5965

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

Provider Enumeration Date	:	03/09/2018
Last Update Date	:	12/03/2024

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