Individual
MELISSA PANTANO CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME124642
FL
208M00000X
Hospitalist Physician
Primary
ME124642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015432200
—
FL
01
—
P01513656
RR MEDICARE
FL
Enumeration date
03/23/2012
Last updated
03/03/2021
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