Igor Melnychuk
Internist Infectious Disease
14546 Old St Augustine Rd Suite 107
Jacksonville
, Florida 32258
Igor Melnychuk
Internist Infectious Disease
14546 Old St Augustine Rd Suite 107
Jacksonville
, Florida 32258
(904) 352-2472
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Igor Melnychuk
- P.o. Box 16292 Suite 107
- Jacksonville, FL
- Zip : 32245
- Fax : (904) 352-2472
- Phone : (904) 352-2466
Second Address
- Igor Melnychuk
- 14546 Old St Augustine Rd Suite 107
- Jacksonville, FL
- Zip : 32258
- Fax : (904) 352-2472
- Phone : (904) 352-2466
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | ME88142 | FL |
| N | 111NI0900X | Internist | ME88142 | FL |
| Y | 207RI0200X | Infectious Disease | ME88142 | FL |
National Provider Identifier
| NPI | 1023104536 |
|---|---|
| Provider Name | Igor Melnychuk |
| First Address | Jacksonville, FL 32245 |
| Second Address | Jacksonville, FL 32258 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 06/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 268770401 | (05) | FL |
| H98619 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.