Individual
MELISSA DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8767 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-5479
(904) 402-8346
(904) 402-8347
Mailing address
1917 SUMMIT RIDGE RD, FLEMING ISLAND, FL 32003-4967
(813) 148-4223
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9111920
FL
Other
Enumeration date
01/22/2019
Last updated
03/31/2025
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