Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Igor Melnychuk, MD, PA

Organization Specialist · NPI 1265667448

Igor Melnychuk, MD, PA is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14546 Old Saint Augustine Rd Ste 107
Jacksonville, FL 32258-5468
Phone: (904) 352-2466
Fax: (904) 352-2472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME88142 (FL)

Record details

NPI number1265667448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Lu — Billing/Credentialing Specialist · (904) 221-2535
NPI enumeratedMay 18, 2009
Last updated in NPPESJune 21, 2012
Mailing addressPo Box 16292, Jacksonville, FL 32245-6292

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