Individual
DR. JEREMY SETH MELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7135 NW 11TH PL, SUIT EA, GAINESVILLE, FL 32605
(352) 331-0090
(352) 331-0094
Mailing address
11945 SAN JOSE BLVD 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME84079
FL
207YX0602X
Otolaryngic Allergy Physician
ME84079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270397100
—
FL
01
—
293458
AVMED
FL
Enumeration date
10/11/2005
Last updated
12/30/2015
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