Meditele Llc | |
216 Jackson Loop Deland FL 32724-3251 | |
(646) 346-4709 | |
Not Available |
Full Name | Meditele Llc |
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Speciality | General Practice |
Location | 216 Jackson Loop, Deland, Florida |
Authorized Official Name and Position | Janet A Heron (NURSE PRACTITIONER) |
Authorized Official Contact | 6463464709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Meditele Llc 216 Jackson Loop Deland FL 32724-3251 Ph: (646) 346-4709 | Meditele Llc 216 Jackson Loop Deland FL 32724-3251 Ph: (646) 346-4709 |
NPI Number | 1316616022 |
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Provider Enumeration Date | 09/08/2021 |
Last Update Date | 09/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316616022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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