Individual
JOHN MORELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13111 ATLANTIC BLVD., STE 4, JACKSONVILLE, FL 32225
(904) 221-3100
(904) 221-3107
Mailing address
2295 OCEANSIDE CT, ATLANTIC BEACH, FL 32233-5957
(904) 704-1699
(904) 247-2686
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME63627
FL
207ND0900X
Dermatopathology Physician
ME63627
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
ME63627
FL
207NP0225X
Pediatric Dermatology Physician
ME63627
FL
207NS0135X
Procedural Dermatology Physician
ME63627
FL
Other
Enumeration date
09/04/2007
Last updated
12/11/2012
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