Individual
DR. JOHN R MEULEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 374-6077
(352) 271-4550
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38614
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
38614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067600400
—
FL
Enumeration date
06/29/2006
Last updated
10/23/2014
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