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1336396910
JONATHAN JAY MELQUIST
JACKSONVILLE, FL
NPI
1336396910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: FL ME123683)
Additional Taxonomies
208800000X Urology
(Licence: TX P6036)
Enumeration Date
2008-08-26
Last Update Date
2020-04-02
Business Address
JONATHAN JAY MELQUIST MD
1301 PALM AVE
JACKSONVILLE, FL 32207-8432
Phone number: 904-202-7300
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Mailing Address
JONATHAN JAY MELQUIST MD
PO BOX 45278
JACKSONVILLE, FL 32232-5278
Phone number: 904-202-2092
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