Organization
IGOR MELNYCHUK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR MELNYCHUK MD (PRESIDENT)
(904) 388-3351
Entity
Organization
Contact information
Practice address
259 RENDEZVOUS LN, PONTE VEDRA, FL 32082-1253
(904) 388-3351
Mailing address
PO BOX 2791, PONTE VEDRA BEACH, FL 32004-2791
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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