Individual
DR. BECKI D MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY, SUITE 3806, PALM COAST, FL 32164-5981
(386) 437-7340
Mailing address
6920 CYPRESS LAKE CT, ST AUGUSTINE, FL 32086-7970
(904) 669-9533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257507800
—
FL
01
—
49467T
MEDICARE NUMBER
FL
Enumeration date
06/24/2008
Last updated
06/24/2008
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