Individual
JASON MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
340 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8600
Mailing address
340 COBALT LN, MIRAMAR BEACH, FL 32550-5301
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11013481
FL
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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