Individual
DR. JAMES MICHAEL MELOTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8980 S US HIGHWAY 1 STE 105, PORT ST LUCIE, FL 34952-3482
(772) 281-3060
(772) 281-3055
Mailing address
8980 S US HIGHWAY 1 STE 105, PORT ST LUCIE, FL 34952-3482
(772) 281-3060
(772) 281-3055
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
DEA#C7875/AU3890402
IL
2085R0001X
Radiation Oncology Physician
Primary
ME133523
FL
Other
Enumeration date
07/11/2012
Last updated
11/04/2020
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