Medek Provider Network LLC

NPI #1356959779 in Mount Dora, Florida

Provider Information

NPI Number: 1356959779
Entity Type: Organization
Organization Name: Medek Provider Network LLC
Primary Specialty: General Practice
Enumeration Date: Jul 22, 2020
Last Updated: Jul 6, 2021

Practice Location

Address: 131 WATERMAN AVE
City: Mount Dora
State: Florida
ZIP Code: 32757-9541
Phone: (352) 385-1803

Authorized Official

Name: EUGENE MAHFOOD
Title: DIRECTOR OF OPERATIONS
Phone: (954) 892-3940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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