MICHELLE MELANSON


Address: 14546 Old Saint Augustine Rd Ste 305-311, Jacksonville, FL 32258-5468
Phone: 9042602255

MICHELLE MELANSON (NPI# 1396108528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396108528
Entity Type Individual
Full Name MICHELLE MELANSON
Practice Address 14546 Old Saint Augustine Rd Ste 305-311
Jacksonville
FL 32258-5468
Mailing Address Po Box 25317
Tampa
FL 33622-5317
Practice Telephone 9042602255
Mailing Telephone 8132860033
Mailing Fax Number 8132821806
Enumeration Date 2016-04-04
Last Update Date 2020-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology ME145094 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 14546 OLD SAINT AUGUSTINE RD STE 305-311
City JACKSONVILLE
State FL
Zip Code 32258-5468

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NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316387947 Alexander David Raw Obstetrics & Gynecology 1600 W Walnut St Bldg 3, Jacksonville, IL 62650-1136 2013-06-27
1912260613 Paulami Guha Obstetrics & Gynecology 836 Prudential Dr Ste 1600, Jacksonville, FL 32207 2012-06-19
1689963696 Dawn M Mormak Obstetrics & Gynecology 836 Prudential Dr Ste 1506, Jacksonville, FL 32207-8342 2011-03-30
1710210745 Niamh A Condon Obstetrics & Gynecology 653-1 W 8th St # L-17, Jacksonville, FL 32209-6511 2009-09-09
1356531396 Coastal Ob Gyn and Infertility Obstetrics & Gynecology 114a Memorial Dr, Jacksonville, NC 28546-6328 2007-07-26
1871614057 Aida A. Malonzo Obstetrics & Gynecology 1512 Palm Ave, Jacksonville, FL 32207-2916 2007-04-03
1487717864 Geoffrey Gillen Obstetrics & Gynecology 653 W 8th St # L17, Jacksonville, FL 32209-6511 2006-12-18
1306916580 Jason R Thompson Obstetrics & Gynecology 6885 Belfort Oaks Place Ste 210, Jacksonville, FL 32216 2006-11-08
1154400554 Charles Burk Obstetrics & Gynecology 203 Nacogdoches St Ste 210, Jacksonville, TX 75766-2455 2006-11-04
1295826295 Henry Solomon Haye Obstetrics & Gynecology Onslow Women's Health Center, 291 Huff Drive, Jacksonville, NC 28546 2006-09-27
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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