Organization
FLEMING ISLAND FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELIA A EVANS M.D. (PRESIDENT)
(904) 529-2500
Entity
Organization
Contact information
Practice address
3189 HIGHWAY 17, GREEN COVE SPRINGS, FL 32043-9371
(904) 529-2500
(904) 529-2509
Mailing address
3189 HIGHWAY 17, GREEN COVE SPRINGS, FL 32043-9371
(904) 529-2500
(904) 529-2509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME94745
FL
207Q00000X
Family Medicine Physician
Primary
ME94840
FL
Other
Enumeration date
05/25/2006
Last updated
06/05/2012
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