Individual
JANIE I MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15180 CENTRALIA RD, BROOKSVILLE, FL 34614-2952
(352) 573-3108
Mailing address
1485 S SEMORAN BLVD, WINTER PARK, FL 32792-5533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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