Individual
MRS. MELINDA FAYE GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
520 A1A N STE 203, PONTE VEDRA, FL 32082-2260
(904) 567-3291
(904) 834-4278
Mailing address
151 SOUTHHALL LN, SUITE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
049451
GA
207N00000X
Dermatology Physician
Primary
OS13654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00892471A
—
GA
05
—
020051200
—
FL
Enumeration date
09/15/2005
Last updated
02/19/2020
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