Valandrea Monet Merilan
Internal Medicine in Jacksonville, FL. Individual provider (NPI-1).
NPI number1003669946
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1003669946
- Entity type
- Individual (NPI-1)
- Name
- Valandrea Monet Merilan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2024
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | TRN39968 | FL | Yes |
Other names
- Valandrea Monet Smith (Former Name)
Practice location
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone 904-953-2000
Mailing address
4500 San Pablo Rd SJacksonville, FL 32224-1865
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