Doctor Name: | MRS. MELINA VOLNER SOMMESE |
NPI Number: | 1003186115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9106136 |
Business Practice Address: | 4500 San Pablo Road Jacksonville, FL - 322241865 |
Business Phone Number: | 9049532000 |
Business Fax Number: | 9049532489 |
Mailing Address: | 4500 San Pablo Road, JACKSONVILLE |
State: | FL |
Postal Code: | 322241865 |
Phone Number: | 9049532000 |
Fax Number: | 9049532489 |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 05/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9106136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |