Merwin, Jack Melvin

Merwin, Jack Melvin is an sole proprietor health care provider with primary practice located at 1100 S Ponce De Leon Blvd Ste 1 , Saint Augustine FL 32084-6013. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Merwin, Jack Melvin can be contacted via phone (904) 824-7733.

Contact Information

Primary practice address
1100 S Ponce De Leon Blvd Ste 1 Saint Augustine FL 32084-6013
Phone: (904) 824-7733
Fax: (904) 829-9768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY2444 Florida

Profile Details

NPI number 1619050473
LBN Legal business name Merwin, Jack Melvin
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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